Obstetrics (+ M&M)

Question 1

Giving a prophylactic antacid is intended to bring the stomach acid to ph ___ and prevent ___________.

Answer 1

2.5; severe aspiration pneumonitis

Question 2

What are risk factors for obstetric morbidity?

Answer 2

> 34y/o, non-white, multiple pregnancy, history of HTN, previous postpartum hemorrhage, emergency C-section

Question 3

By far, the most common morbidities in obstetrics are ________ and _________.

Answer 3

severe hemorrhage; severe preeclampsia

Question 4

Which is the preferred anesthetic for c-section?

Answer 4

regional

Question 5

Regarding c-section, deaths under GA are generally associated with _______ whereas deaths under regional are generally associated with __________.

Answer 5

airway problems; excessive dermatomal spread of blockade or LA toxicity

Question 6

What are some of the benefits of regional anesthesia over GA in c-section?

Answer 6

less neonatal exposure to drugs, decreased risk of aspiration, awake mother at birth, option of spinal opioids for post-op pain

Question 7

What advantages does spinal have over epidural?

Answer 7

more rapid and predictable onset, more dense block, less total drugs given (lower chance of LA toxicity)