Clinical implications of anaesthesia in Pregnancy

Md. Abdul Jalil Barbhuiya¹, Liton Ahmed²

1. Professor, Anesthesia & ICU, North East Medical College, Sylhet
2. Medical Officer, Department of Anesthesiology, North East Medical College, Sylhet

Introduction
In general, normal pregnancy have some physiological and anatomical changes. These changes have implications for the anesthetist. This implications not only concern intrapartum management but also when emergency surgery accidentally becomes inevitable. The pregnant mother becomes primarily adapted with the changes so that the metabolic demands of the growing foetus may be fulfilled.

Key Points
In the Parturient: Decreased FRC (functional residual capacity) causes faster on set of hypoxaemia during periods of apnoea. Blood loss of 1.5 litres or more can take place without any change in cardiovascular parameters. Asymptomatic aortocaval compression occurs in all most every parturient.
Full Stomach: All patients from 16 weeks gestational age to 48 hours post partum should be considered as full stomach.

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