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  • Title: Labor analgesia for the parturient with respiratory disease: what does an obstetrician need to know?
    Author: Kuczkowski KM.
    Journal: Arch Gynecol Obstet; 2005 Jul; 272(2):160-6. PubMed ID: 15650837.
    Abstract:
    BACKGROUND: Significant alterations occur in the pulmonary system during pregnancy, which primarily serve to meet the increased oxygen consumption by the growing fetus. When pregnancy is complicated by a respiratory tract disorder such as asthma, cystic fibrosis or tobacco-related respiratory complications the peripartum management (both obstetric and anesthetic) may become challenging. TECHNIQUE: Regional anesthesia remains the technique of choice for these parturients because airway manipulation and endotracheal intubation are avoided. CONCLUSION: When providing labor analgesia to parturients with asthma, cystic fibrosis, and tobacco-related respiratory disorders every effort should be made to reduce the likelihood of high (thoracic) levels of analgesia and/or anesthesia and subsequent airway compromise.
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