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Obstetrics Anaesthesia

Tutorial 387

Management of pregnant women with a history of addictions or substance misuse

Dr Harriet Daykin
Anaesthetic Specialist Trainee, Royal Devon & Exeter Hospital, UK

Dr Lucy Miller
Persistent Pain Lead and Anaesthetic Consultant, North Devon District Hospital, UK

Edited by
Dr James Brown1 and Dr Gill Abir2
1 Consultant Anesthesiologist, BC Women’s Hospital, Canada
2 Associate Professor, Stanford University, USA

Correspondence to harriet.daykin@nhs.net

18th September 2018

Abstract

The management of the pregnant woman with a history of addiction or substance abuse can be challenging. This tutorial focuses on the pathophysiological effects of drug addiction, providing safe perioperative care and achieving effective analgesia both during labour and post-caesarean section.