臨床婦人科産科76巻12号

2022年12月発行

今月の臨床 帝王切開分娩のすべて―この1冊でわかるNew Normal Standard

術前・術中管理

帝王切開分娩の食事・飲水制限と輸液

著者： 疋田陽子¹² 岡田尚子¹

所属機関： ¹順天堂大学医学部附属浦安病院麻酔科・ペインクリニック ²新生産婦人科医院麻酔科

ページ範囲：P.1227 - P.1232

文献概要

●妊産婦はその消化器系解剖学・生理学的変化により胃内容逆流が起こりやすく，誤嚥予防に配慮する必要がある．

●いかなる分娩も緊急帝王切開の可能性がある．経口摂取制限は，分娩の状況，妊産婦の合併症，区域麻酔不成功のリスクなどを総合的に判断して決定する．

●帝王切開では術中のみならず回復まで見越した輸液管理が求められる．麻酔後低血圧を予防しつつ，過剰輸液も避けなければならない．

参考文献

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