ANESTHESIA

SPINAL

  • All obstetrical procedures can be performed in spinal anesthesia
  • Preferred method for C/S
    • Unless patient is in chock

KETAMINE

  • When spinal anesthesia fails
  • When spinal anesthesia is contraindicated
    • Shock due to
      • Sepsis
      • Hemorrhage
  • Combine with
    • atropine
    • valium
  • Recommended doses:
    • 1-5 mg/kg  IV  
    • 5-10 mg/kg IM
    • 1-2 mg/kg at rate of 0.5 mg/kg/min as infusion
      • solution of 1 mg/ml in Normal Saline or Glucose

PUDENDAL BLOCK / SACRAL ANESTHESIA

  • Forceps Delivery
  • Episiotomy

LOCAL INFILTRATION ANESTHESIA

  • Episiotomy
  • Symphysiotomy
  • C/S

GENERAL INTUBATION ANESTHESIA

  • Uterine Rupture
  • C/S in Eclampsia.

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