Abstract
In most cases, hernia repair in a pregnant woman should wait until after delivery. There are occasions, however, when hernia repair must be performed before delivery or immediately postpartum. When this occurs, there are many factors that must be evaluated when considering the best anesthetic management for these patients. Important maternal physiological changes begin early in the first trimester. Uterine blood flow must be preserved to ensure fetal well-being. Both pharmacokinetics and pharmacodynamics of the commonly used sedative, analgesic, and anesthetic agents can be significantly altered during pregnancy. All drugs given to the mother pass the placenta and may affect the fetus. Factors associated with anesthesia and surgery may precipitate preterm labor. Finally, drugs given to lactating mothers may affect lactation or the newborn.
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© 2001 Springer Science+Business Media New York
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Halpern, S., Srebrnjak, M. (2001). Anesthesia for Hernia Repair in Pregnancy and Lactation. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B., Phillips, E.H. (eds) Abdominal Wall Hernias. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-8574-3_91
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DOI: https://doi.org/10.1007/978-1-4419-8574-3_91
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