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Anesthesia and Perioperative Care

140.08: OBSTETRIC ANESTHESIA - Atisa Britton, M.D.

Tier 1B. This course is designed for students interested in either Obstetrics and Gynecology or Anesthesia as it relates to Women's Health. The clerkship views labor and delivery from the anesthesia perspective, with emphasis on physiology, pharmacology and specific disease processes of pregnancy. The educational and skills objectives are defined by the principles and practice of obstetric anesthesia. The student's goal is to become a more knowledgeable, more skilled and more effective physician in an obstetric unit.
Course Objectives: Physiologic and anatomic changes during pregnancy. Surgery during pregnancy. Fetal surgery (if possible). Placental transfer of drugs and the effects of drugs on uterine blood flow. The utility of low dose local anesthetic with opiates. Management of: labor analgesia (psychologic, parenteral, epidural/spinal); cesarean delivery (spinal, epidural, general anesthesia); emergency C-section for fetal distress; placenta previa; abruptio placenta; multiple gestation; breech presentation; pre-eclampsia; retained placenta; postpartum hemorrhage (uterine atony); postpartum pain; and postpartum tubal ligation. Fetal heart rate monitoring and acid-base status. Newborn assessment (APGAR) and resuscitation.
Common Problems/Diseases: Pre-eclampsia, preterm labor, fetal surgery, intrauterine transfusions, tubal ligations, women in labor.
Recommended Text or Reading: Chestnut's Obstetric Anesthesia, 4th Edition, by Chestnut, Polley, Tsen and Wong. Basics of Anesthesia, 6th Edition, by Miller and Pardo Jr., Chapter 33, Obstetrics by Lucero and Rollins. Other chapters will be suggested during the rotation, and/or relevant journal articles will be provided or suggested. The book can be checked out from Marie Lim, S455.
Team Composition: Two obstetric anesthesia fellows and three anesthesia residents who share call. Students are welcome to remain with a resident late into the evening or stay overnight, but this is not required or expected.
Patient Contact Hour Number (hours): 30
Classroom Time (hours): 10
Outside Study (hours): 4
Call Schedule/Weekends: Students are welcome to remain with a resident late into the evening or stay overnight, but this is not required or expected.
Grading: Pass/Fail
Prerequisites: Anesthesia 110 and Obstetrics/Gynecology 110.
Quarters Taught: Su 1 & & 3, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 2
Maximum Students per Block: 1
Contact Name: Marie Lim
Contact Phone: (415) 476-2851
Location to report to: 1855 4th Street, 3rd Floor, Labor and Delivery, Room A3634 at 7:00 am.
Comments: Priority for UCSF students. Students interested in Obstetrics and Gynecology or Anesthesia.

How to Add & Drop a course:
To add or drop this course, please submit a request through the online elective request system.