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Authors: Lady Christine Ong Sio, MD et al ASA Monitor May 2023, Vol. 87, e10–e11. A 27-year-old primigravid with a history of opioid use disorder, on buprenorphine, presented to the OB suite in active labor. She underwent an emergent cesarean section under a spinal anesthetic due to persistent late decelerations. Her operative course was uneventful. Postoperatively, […]
Read MoreAuthors: Iryna Chugaieva, MD et al ASA Monitor May 2023, Vol. 87, e8–e9. Advances in health care have resulted in an aging population with multiple health problems. During pregnancy, maternal age alone is a known independent risk factor. Therefore, pregnancies during higher age with comorbidities are high-risk pregnancies. Despite significant improvements in the availability and quality […]
Read MoreAuthors: Brian Taussig, MD et al ASA Monitor May 2023, Vol. 87, 21. Your pager goes off for a postpartum hemorrhage (PPH) on the labor floor. While the patient is hemodynamically stable, the estimated blood loss is almost 2 liters, so you place additional large-bore intravenous access while drawing off a “rainbow set” of labs. You […]
Read MoreAuthors: Alexander G. Samworth, MD et al ASA Monitor May 2023, Vol. 87, 20. Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide (Obstet Gynecol 2017;130:366-73; BMC Pregnancy Childbirth 2009;9:55). Nearly half of all severe maternal morbidity in the United States is related to PPH (BMC Pregnancy Childbirth 2009;9:55). Physiologic changes of pregnancy […]
Read MoreAuthors: David Stahl, MD et al ASA Monitor May 2023, Vol. 87, 17–19. A 41-year-old G2P1 with a history of chronic hypertension, obesity (BMI 45), lower extremity edema, and asthma presents with severe-range blood pressures at 37 weeks gestational age. The diagnosis of preeclampsia with severe features is confirmed, an induction of labor is started, and […]
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