1. Obstetric analgesia and anesthesia The Third Affiliated Hospital of Sun Yat-sen University GUJIAN

4. Charateristics of obstetric analgesia and anesthesia

15. Distribution of drugs between maternal and fetal compartments

16. The techniques in obstetric analgesia and anesthesia

24. Local anesthetic agents efficacy Duration of action Bupivacaine Spinal anestheisia Lidocaine: Epidural anesthesia Procaine Protein combina-tion Lipid solubility

31. puncture sites:L2~3, L3~4

32. Puncture with the epidural needle and place the catheter

40. Puncture the spinal needle, fluid from the subarachnoid space Place the catheter Inject 1.5%lidocaine Inject 0.5%bupivacaine

41. side effects of epidural and spinal anesthesia The block of Sympathetic nerve fibers arterial resistance ↓ 1. Blood pressure ↓ venous pooling ↑ Venous return ↓ Compression of inferior vena cava by uterus

54. Anesthesia apparatus Sevoflurane: isoflurane:

56. Analgesia and anesthesia for abnormal obstetrics

62. Thank you for your attention