Biomaterial Database

Obstetric Anesthesia: Leading the Way in Patient Safety. 2019

David J Birnbach, and Brian T Bateman

University of Miami-Jackson Memorial Hospital Center for Patient Safety, University of Miami Miller School of Medicine, 1611 Northwest 12th Avenue, C-300, Miami, FL 33136, USA. Electronic address: dbirnbach@miami.edu.

The subspecialty of obstetric anesthesiology has embraced patient safety research, which has led to a reduction in obstetric anesthesia-related morbidity and mortality. Although there are innumerable individual improvements, this article highlights the following innovations: safer and more effective labor analgesia, safer treatments for hypotension associated with neuraxial blockade, advances in spinal and epidural techniques for operative deliveries, lower incidence of postdural puncture headache through improved technology, safer parental agents for labor analgesia, improved safety of general anesthesia in obstetrics, improved education and the use of simulation including team training, and reductions in operating room-related infections.

UI	MeSH Term	Description	Entries
D007743	Labor, Obstetric	The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).	Obstetric Labor
D011247	Pregnancy	The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.	Gestation,Pregnancies
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000698	Analgesia	Methods of PAIN relief that may be used with or in place of ANALGESICS.	Analgesias
D000768	Anesthesia, General	Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.	Anesthesias, General,General Anesthesia,General Anesthesias
D000773	Anesthesia, Obstetrical	A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.	Anesthesia, Gynecological,Anesthesia, Obstetric,Gynecologic Anesthesia,Paracervical Block,Anesthesia, Gynecologic,Block, Paracervical,Blocks, Paracervical,Gynecological Anesthesia,Obstetric Anesthesia,Obstetrical Anesthesia,Paracervical Blocks
D000776	Anesthesiology	A specialty concerned with the study of anesthetics and anesthesia.
D051299	Post-Dural Puncture Headache	A secondary headache disorder attributed to low CEREBROSPINAL FLUID pressure caused by SPINAL PUNCTURE, usually after dural or lumbar puncture.	Post-Lumbar Puncture Headache,Postdural Puncture Headache,Headache, Post-Dural Puncture,Headache, Postdural Puncture,Headaches, Post-Dural Puncture,Headaches, Postdural Puncture,Post Dural Puncture Headache,Post-Dural Puncture Headaches,Postdural Puncture Headaches
D061214	Patient Safety	Efforts to reduce risk, to address and reduce incidents and accidents that may negatively impact healthcare consumers.	Patient Safeties,Safeties, Patient,Safety, Patient