Delivery of a normal child to a healthy mother is the goal of modern obstetrics, and pain relief during labor and parturition plays an important role in achieving this objective. Pain relief accomplishes more than just providing personal comfort to the mother; it is an integral part of good obstetric care. Well chosen and well managed analgesia improves the progress of labor, attenuates the cardiovascular and respiratory responses to labor, and promotes the safe completion of difficult deliveries. CHAPTERS: 1) Maternal Respiratory Changes During Pregnancy and Parturition 2) Maternal Cardiovascular Dynamics During Pregnancy and Parturition 3) Inferior Vena Caval Occlusion in Late Pregnancy 4) The Initiation of Labor 5) Biochemical Monitoring by Fetal Blood Sampling 6) Biophysical Monitoring by Fetal Electrocardiography 7) The Use of Fetal EEG in the Study of Obstetric Anesthesia 8) Maternal and Fetal Acid Base Balance in Labor 9) Effect of Changes in Maternal Oxygen and Carbon Dioxide Tensions on the Fetus 10) Analgesia During Labor, Effect on the Fetus and Neonate 11) Barbiturates in Newborn Animals, A Drug Response Problem 12) Thiobarbiturates in Obstetric Anesthesia 13) Placental Transfer of Local Anesthetics: Clinical Implications 14) Anesthesia for Elective Cesarean Section 15) Thermal Care of the Infant at Birth.
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