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Continuing Education in Anaesthesia Critical Care and Pain | Volume 4 Number 3 | 2004
Continuing Education in Anaesthesia, Critical Care & Pain | Volume 4 Number 3 2004 © The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Pregnant women with significant medical conditions: anaesthetic implications

Satya Francis, FRCA, Specialist Registrar in Anaesthesia
Department of Anaesthesia, Leicester Royal Infirmary, Leicester, LE1 5WW

Anne May, FRCA, Consultant Anaesthetist
Department of Anaesthesia, Leicester Royal Infirmary, Leicester LE1 5WW
Tel: 01162 393222, E-mail: annemayfrca{at}aol.com (for correspondence)

Anaesthetic assessment plays a vital role in the successful management of the pregnant patient with coexisting medical diseases. This has been highlighted by successive reports of the Confidential Enquiries into Maternal Deaths (CEMD). Advances in medical care have resulted in an increasing number of women with concomitant diseases becoming pregnant. The effects of the physiological changes of pregnancy on the disease must be given due consideration in patient evaluation and management. In this review, some of the common problems will be discussed.


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