Title : Report On Obstretic Anesthesia Observer shipAt Fernandez Hospital
Background: Today, Obstetric Anesthesia is rapidly growing subspecialty. But still in most of the
places practice of labour analgesia is unknown. Belief that Labour is natural process so No Pain No
Gain. Since my residency I was very keen about pain relief to the mother in labour.So I got chance to
come to Fernandez hospital Hyderabad and learn principles of labour analgesia.Aim: To share my
experiences during obstretic anesthesia observership- my views changed.Methods: It is the
observership report, ( 6 th to 18 July 2015).To start with painless delivery on the first day I observed
labour analgesia service including preanesthetic check-up,counselling, consent , emergency
equipment, trained staff, fasting guidelines , reinsertion of epidural catheter , management of
complications , alternatives when Regional procedure is contraindicated,Difficult epidural.
Management operation following labour analgesia.Management -obstretic patients with
Preeclampsia, HELLP syndrome, heart disease , Acute Abdomen, General anesthesia in obstretic
patient – considerations. Management
of post-partumhemorrhage,Postoperative pain
&Perioperative care. Observed management of critical patients admitted in icu – mitral stenosis,
atrial fibrillation, epilepsy. I learntBest Anesthesia Practices performed in Fernandez Hospital By
Prerna Anesthesia and critical care services for MOTHER AND BABY.We had discussions on anatomy
physiology of labour epidural & details of technical issues, local anaesthetic drugs & LAST,
management of Marfan syndrome, use of chlorprocaine. Attended Neonatal surgery- colostomy in
case of tracheo-oesophageal fistula,newborn resuscitation, depressor angulae muscle weakness in
newborn , meningomyelocoele. I learnt importance of knowing anatomy, physiology of labour
.Results:Safety is considered always first.Learning labour anesthesia is techniquely easy but starting
labour analgesia service is difficult task.It’s true that Established Labour analgesia service can
contribute provision of multidisciplinary care ,decrease maternal mortality , morbidity. Obstretic
anesthesia is vast subject. Orientation - Obstretic critical care.Conclusion: Safe health care and pain
relief is basic human right. To provide safe and effective obstretic anesthesia services interested
anaesthesiologists should attend training programme such as fellowship/ observership in obstretic
anesthesia.