Author:
Ejiogu Nwadiogo,Orlando Barbara
Abstract
Abstract
The main changes observed during labor are essentially a considerable increase in cardiac output, even more than during pregnancy, associated with a worsening of the increase in minute ventilation seen during pregnancy. Major airway edema is common and can affect intubating conditions in the case of general anesthesia, which can be worsened by a severe increase in the risk of gastric aspiration during labor, despite the strict fasting (nil per os, NPO) guidelines with clear liquid diet. Last, increased intracranial pressure (ICP) during the pushing period with the Valsalva maneuver can jeopardize the parturient’s health in case of preexisting neurologic conditions.
Publisher
Oxford University PressNew York
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