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Anaesthesia for Caesarean section: Basic principles

Management of the woman for caesarean delivery requires meticulous planning and skill from the anaesthetist. The time available to plan and communicate with the woman will depend on the degree of urgency to deliver the baby. However, this chapter sets out the important basic principles which need to be adhered to, regardless of the time available. Information and consent for the planned technique is discussed, with a review of antacid prophylaxis and monitoring requirements for the woman and fetus prior to delivery. Enhanced recovery in obstetric surgery is considered the gold standard for elective caesarean delivery, with attention to the details of each aspect described. Caesarean section confers considerable cardio-vascular instability, therefore attention to maternal positioning to minimize aorto-caval compression, intravenous pre-loading, and current evidence to support the practice of differing vasopressor use is highlighted.