(Fig. 40-4: Recommendations for management of parturients and surgical procedures)

1. When the necessity for surgery in a pregnant patient arises, anesthetic considerations are related to multiple factors (Table 40-22: Considerations in the Management of Anesthesia for Nonobstetric Surgery in Pregnant Women).
2. Only emergency surgery should be performed during pregnancy, especially in the first trimester. It is logical to select drugs with a long history of safety (opioids, muscle relaxants, thiopental, nitrous oxide). The fetal heart rate should be monitored after the 16th week.

Obstetrical Anesthesia

1. Physiologic Changes of Pregnancy
2. Placental Transfer and Fetal Exposure to Anesthetic Drugs
3. Anesthesia for Labor and Vaginal Delivery
4. Anesthesia for Cesarean Delivery
5. Anesthetic Complications
6. Management of High-Risk Parturients
7. Preterm Delivery
8. Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome
9. Substance Abuse
10. Fetal Monitoring
11. Newborn Resuscitation in the Delivery Room
12. Anesthesia for Nonobstetric Surgery in Pregnant Women