Alison Macarthur

• University Health Network

Pain after vaginal delivery can interfere with the activities of daily living. We hypothesized that epidural medication administered after delivery would be of benefit for acute postpartum pain management. The objective of this study was to assess whether epidural morphine after vaginal delivery would reduce the analgesic requirements for perineal...

The transversus abdominis plane (TAP) block has been shown to provide analgesia for lower abdominal wall incisions. We evaluated the efficacy of the TAP block for post-cesarean delivery (CD) patients used as a part of a multimodal regimen. Women undergoing elective CD under spinal anesthesia were randomized to receive the TAP block with ropivacaine...

Palpation has been shown to be inaccurate at identifying lumbar interspinous spaces. Our goal in this study was to compare ultrasound imaging of the region to palpation. Using ultrasound in the postpartum period, we estimated the interspinous level used for obstetric neuraxial anesthesia in 121 women and compared this estimation with the level esti...

The purpose of this study was to evaluate the incidence of peripartum myocardial ischemia in Canada. We identified the cohort of women who were admitted to Canadian hospitals for delivery between 1970 and 1998 to calculate the incidence rate and to evaluate potential risk factors. One hundred fourteen of 10,032,375 women delivered in Canadian hospi...

We sought to determine the incidence, etiology, characteristics and risk factors for all headaches in the first week postpartum. This was a prospective cohort study of 985 women delivering over a three-month period in a single tertiary-care institution. These women underwent a structured interview and follow-up to collect demographic data and to as...

The purpose of this study was to determine the frequency of perineal pain in the 6 weeks after vaginal delivery and to assess the association between perineal trauma and perineal pain. Study design This was a prospective cohort study of parturients at 1 day, 7 days,' and 6 weeks' post partum in an academic tertiary obstetric unit in Toronto, Canada...

This study was undertaken to systematically review the medical literature to determine whether anesthesia facilitates the external cephalic version maneuver (ECV) for breech presentations. Study design A meta-analytic review of medical databases for randomized clinical trials comparing anesthesia with no anesthesia given for ECV attempts. The prima...

logical symptoms from a suprasellar meningioma must receive urgent surgical treatment prior to her fetus reaching a reasonable gestational age for delivery. Non-obstetric surgery during pregnancy is not new and has been reported with surgical techniques, such as laparoscopic and cardiopulmonary bypass procedures. The risks of non-obstetric surgery...

HIS issue’s quantitative systematic review of ephedrine’s effect in reducing maternal hypotension during spinal anesthesia for Cesarean delivery is of interest to obstetric anesthesiologists. 1 Unfortunately the review does not hand us the “Holy Grail” of obstetric anesthesia – an infallible technique to prevent spinal anesthesiainduced hypotension...

QuestionIn infants born before term (26–36 weeks of gestation) and infants born at term (≥37 weeks of gestation), does the Apgar score, at five minutes of age, predict 28-day neonatal death? DesignProspective cohort. SettingAcademic hospital with a level III neonatal intensive care unit. Patients151,891 live-born singleton infants, with gestatio...

The use of paracervical, pudendal, and caudal anesthesia in the obstetric population has declined over the past 30 years. However, each technique offers the unique advantage for regional anesthesia when central axial blockade is not possible or when obstetric anesthesia services are not available. Paracervical blockade inhibits pain arising from ce...

Cervical joint disease in rheumatoid arthritis patients is common. These patients may be at risk for severe life-threatening neurological problems in the perioperative period and thus present' a challenge to the anaesthetist. By understanding the various anatomical abnormalities that may occur in rheumatoid cervical joint disease, the anaesthetist...

"MQ-87342." "December 2002." Thesis (MSc)--University of Calgary, Department of Community Health Sciences, 2002. Includes bibliographical references. Microfiche.