Anesthetic management in case of previous cesarean section

作者：Diemunsch P^*; Pottecher J; Chassard D

来源：Journal de Gynecologie Obstetrique et Biologie de la Reproduction, 2012, 41(8): 817-821.

DOI：10.1016/j.jgyn.2012.09.035

• Vaginal birth after caesarean section
• General anesthesia
• Analgesia for labor
• Epidural
• Spinal anesthesia
• Elective caesarean section
• Uterine rupture
• Placenta previa
• Placenta accreta
• Maternal mortality

An efficient communication between the obstetrics and anesthesiology teams is a prerequisite for an optimal management of a woman with a previous cesarean section (professional agreement). Epidural analgesia should be encouraged in this context due to a high risk of emergency obstetrical procedures, in order to avoid general anesthesia (professional agreement). When possible, spinal anesthesia is the technique of choice for elective repeat cesarean delivery even in case of morbidly adherent placenta (professional agreement).

• 出版日期2012-12