Learning Zone: Anaesthesia for other Obstetric Indications. Dr Kirsty Matthews

Topic of the month Date
Anaesthesia for other Obstetric Indications
January 2022
Relevant recent publications
Use of spinal prilocaine in obstetric anaesthesia. IJOA 46 (2021) 102988. M Belete, A. Mills.

Neuraxial block and success of external cephalic version. Weiniger & Rabkin. BJA Education, Sept 2020.

Cervical Suture
Spinal chloroprocaine for obstetrical non-delivery procedures: a retrospective analysis at a single academic center. Mandalia et al. IJOA, Nov 2020

Anaesthesia/analgesia for manual removal of retained placenta. Kongwattanakul et al. Cochrane Database of Systematic Reviews, 2020.

OAA webcast (in last 4 years) Defining a role for short acting local anaesthetics in obstetrics. Chair Dr. R. Russell. ASM June 2021. Day 2 stream b. (password: contact the Secretariat)

External Cephalic Version & The Anaesthetist – Prof Carolyn Weiniger. Three Day Course in Obstetric Anaesthesia, Nov 2016  (password: contact the Secretariat)
    OAA posters (in last 4 years) ECV
    Mothers’ views on regional anaesthesia for external cephalic version: a qualitative study. Rivers et al, Obstetric Anaesthesia 2017.

    Cervical Suture
    Perioperative Anaesthetic Care of Cervical Cerclage (Survey). Lo et al, Obstetric Anaesthesia 2019.
    Perioperative anaesthetic management of cervical cerclage. Ezihe-Ejiofor et al, Obstetric Anaesthesia 2017

    Perineal Repair

    Spinal anaesthesia for manual removal of placenta and perineal tears. Lamb & Winters, Obstetric Anaesthesia 2015.
    Intrathecal anaesthetic drug dosing strategies for repair of perineal tears: an evaluation of current practice. Ince & Clark, Obstetric Anaesthesia 2021.
    Peri-operative analgesia for third degree perineal tear repairs. Milton et al., Obstetric Anaesthesia 2021

    Management of Retained Placenta. Mawathage et al, Obstetric Anaesthesia 2020.
    Spinal anaesthesia for manual removal of placenta and perineal tears. Lamb & Winters, Obstetric Anaesthesia 2015.

      MBRRACE-UK Nil
        National guidelines ECV
        External Cephalic Version and Reducing the Incidence of Term Breech Presentation (Green-top Guideline No. 20a)

        Cervical Suture
        Preterm labour and birth (NICE guideline [NG25])

        Perineal Repair
        Third- and Fourth-degree Perineal Tears, Management (Green-top Guideline No. 29)

        WHO guidelines for the management of postpartum haemorrhage and retained placenta

        OAA guidelines Perineal Repair
        Local Trust Guidelines (Grampian), see pg 2

        Audit / Qu suggestions
        Nil relevant themes in the Raising the Standards: RCoA Quality Improvement Compendium

          FRCA questions Nil previous FRCA questions

          Simulation suggestion
          Massive obstetric haemorrhage following retained placenta simulation

          Information for expectant
          parents and midwives’

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