Chestnut's Obstetric Anesthesia

Cynthia A. Wong is Professor and Chair, Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City, Iowa. Warwick D. Ngan Kee is the Director of Obstetric Anaesthesia at The Chinese University of Hong Kong Lawrence C. Tsen is Associate Professor of Anaesthesia, Harvard Medical School; Director of Anesthesia, Center for Reproductive Medicine, Associate Director, Center for Professionalism and Peer Support Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts. Yaakov Beilin is Professor of Anesthesiology and Obstetrics, Gynecology and Reproductive Science, Vice Chair for Quality, Department of Anesthesiology, Icahn School of Medicine at Mount Sinai Jill M. Mhyre is The Dola S Thompson Professor, Director of Obstetric Anesthesia, Vice-Chair for Research, Department of Anesthesiology, The University of Arkansas for Medical Sciences Brian T. Bateman is Associate Professor of Anaesthesia, Harvard Medical School; Chief of Obstetric Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts. David H. Chestnut is Professor of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.

4 Stars! “...a thorough review of pregnancy, its comorbidities and fetal development, and how these changes alter anesthesia care and its goals.... The inclusion of contrasting tables and algorithms throughout the book enhances its value as a resource for anyone involved in the care of pregnant patients requiring anesthesia.... The organization of the chapters is intuitive, allowing for knowledge to build progressively, with each section building on the previous one.... Diagrams and charts included in the various chapters further clarify the information provided and serve as excellent resources for reviewing when encountering challenging patient scenarios.... It aids in decision-making for complex cases and enhances knowledge for everyday anesthesia management in labor and delivery, as well as for other procedures involving pregnant patients. I highly recommend this updated edition as a reference book for any questions related to patient care.” Review by Michelle Simon, MD (Yale School of Medicine), ©Doody's Review Service, 2026. Doody's Score: 95, 4 Stars!

• PART I Introduction1. The History of Obstetric AnesthesiaPART II Maternal and Fetal Physiology2. Physiologic Changes of Pregnancy3. Uteroplacental Blood Flow4. The Placenta: Anatomy, Physiology, Transfer of Drugs, and PathologyPART III Fetal and Neonatal Assessment and Therapy5. Fetal Physiology6. Antepartum Fetal Assessment and Therapy7. Anesthesia for Fetal Surgery and Other Intrauterine Procedures8. Intrapartum Fetal Assessment and Therapy9. Neonatal Assessment and Resuscitation10. Fetal and Neonatal Neurologic Injury11. Quality, Patient Safety, and Medical ErrorPART IV Foundations in Obstetric Anesthesia12. Spinal and Epidural Analgesia and Anesthesia: Anatomy, Physiology, and Technique13. Local Anesthetics and Opioids14. Racial and Ethnic Disparities in Obstetric Anesthesia Care15. Obstetric Anesthesia in Low- and Middle-Income CountriesPART V Anesthesia Before and During Pregnancy16. Pharmacology During Pregnancy and Lactation17. Problems of Early Pregnancy18. Nonobstetric Surgery During PregnancyPART VI Labor and Vaginal Delivery19. Obstetric Management of Labor and Vaginal Delivery20. Trial of Labor and Vaginal Birth After Cesarean Delivery21. The Pain of Childbirth and Its Effect on the Mother and the Fetus22. Childbirth Preparation and Nonpharmacologic Analgesia23. Systemic and Nonneuraxial Regional Labor Analgesia24. Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery25. Postpartum Tubal SterilizationPART VII Cesarean Delivery26. Anesthesia for Cesarean Delivery27. Postoperative AnalgesiaPART VIII Anesthesia Complications28 Aspiration: Risk, Prophylaxis, and Treatment29 The Difficult Airway: Risk, Assessment, Prophylaxis, and Management30 Postpartum Headache31 Neurologic Complications of Pregnancy and Neuraxial Anesthesia32 Shared Decision-Making and Informed Consent in Obstetric AnesthesiaPART IX Obstetric Complications33. Preterm Labor and Delivery34. Abnormal Presentation and Multiple Gestation35. Hypertensive Disorders36. Infection37. Antepartum and Postpartum Hemorrhage38. Embolic Disorders39. Maternal MortalityPART X The Patient With Systemic Disease40. Autoimmune Disorders41. Cardiovascular Disease42. Chronic Pain During and After Pregnancy43. Endocrine Disorders44. Hematologic and Coagulation Disorders45. Liver Disease46. Musculoskeletal Disorders47. Neurologic and Neuromuscular Disease48. Obesity49. Psychiatric Disorders50. Renal Disease51. Respiratory Disease52. Substance Use Disorders53. Trauma and Critical Care