Pre-eclampsia is a heterogeneous multisystem disorder of pregnancy. Controversies still exist with regard to its aetiology, diagnosis and treatment. Careful control of the blood pressure in a high dependency setting is paramount. The main concerns to the obstetric anaesthetist are...

Septic shock arising in pregnancy or after delivery may be difficult to diagnose and women may deteriorate rapidly. Early warning scoring systems may aid prompt diagnosis so treatment can begin rapidly and a crisis may be averted. If shock develops,...

Multiple Sclerosis is an autoimmune disease of the central nervous system that effects 1 million people worldwide, of which two-thirds are women and many are in their child-bearing years. The effects of pregnancy on disease progression, pregnancy outcome as well...

The second article of this labour epidural series features 4 cases requiring identification of the most appropriate neuraxial technique. It covers why epidurals fail and how these failures may be rectified.

This tutorial discusses the feasibility of neuraxial anesthesia in a parturient with scoliosis or previous spinal surgery with emphasis on the challenges, practical tips as well as alternative approaches to labor analgesia.