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Essay On Obstetric Anesthesia

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Obstetric anesthesia is a challenge in these patients because of complex spinal defects and could make regional anesthesia difficult but not absolutely contraindicated. A spina bifida cystica patient with a lesion above T11 is unlikely to experience labor pain. However there is a potential risk of autonomic hyper reflexia in patients with thoracic lesions (T5–T8) and prophylaxis should be provided. There is an increased risk of accidental dural puncture as well as failed block and excessive cranial spread of the local anesthetic while performing epidural blockade. In most cases the obstetric anaesthetist also faces the challenge of dealing with surgically scarred backs. More severe cases may present with scoliosis and respiratory compromise. Few reports have …show more content…

In such a syndrome, the cerebellar vermis herniates into the foramen magnum, causes vocal cord paralysis (VCP) by compression of the brainstem and/or vagus nerves. The compression can either come from the cerebellar tissue itself or from the ensuing hydrocephalus. Most commonly, bilateral vocal cord paralysis is seen but unilateral paralysis is also possible.

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Have you ever been stuck in a position where you don’t have a clue on what you want your future career to be? Well, it definitely happened to me. I was influenced by many people to choose a career similar to theirs. I observed the lives of friends and family that were business, accounting, engineering, teaching, and psychology majors, but none caught my attention. It was then that my mother shared numerous stories about her days as an OB nurse and how that had made her into the mother that she is.

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A neonatologist is a doctor involved in treating and caring for high-risk infants. They work with premature infants, or those born prior to thirty-seven weeks of pregnancy, to infants with birth defects. They also help and work with the prenatal care of high-risk infants. Neonatology fits in the health sciences pathway. A neonatologist creates a medical treatment plan, provides assistance during delivery, provides medical treatment, and ensures proper medication and care.

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It is estimated that 56 percent of boys and 40 percent of girls in the United States tested positive for drug use in a study that was conducted in 2000. It was further reported in 2002 that substance use rate among the teenagers and adolescents rose to 23.8 percent for those who had been jailed or kept in a detention facility. The topic has thus gained national interest from the effect that a large number of the young generation tend to use illegal drugs in pregnancy, with key stakeholders in healthcare sounding warning that there is a challenge in making the young adhere to avoidance of illegal drug use. A clinical neuroscientist from the University of Maine has since voiced her concerns by claiming, “The incidence has gone crazy, and I think

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Unlike doctors that only have one agenda when it comes to a woman giving birth, midwives provide women with individualized care uniquely suited to their physical, mental, emotional, spiritual and cultural needs. In the course of developing that relationship, midwives provide personalized and thorough care at many levels that empowers the soon-to-be mother in her ability to give birth and care for her baby. The maternity care practiced should be based on the needs of the mother and child and not the caregiver or provider; therefore, interventions should be avoided with the natural birthing process unless complications arise. Until 1940, midwives used to deliver most babies; however, there was a cultural and social shift that made women believe that the hospital provided a safer, pain-free birth without risks of hemorrhage, infection or death (Connerton). This movement has “grappled with economic, political, religious and racial differences” (Craven).

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