It is unfortunate that obstetric anesthesia for operative deliveries is often considered to be a relatively simple procedure which requires less skill than the administration of anesthesia for general surgical procedures. It is not surprising, therefore, that the administration of anesthesia to obstetric patients too frequently is relegated to someone who is relatively inexperienced or who has only a casual interest in anesthesia.
This attitude deserves attention when the choice of anesthesia for operative obstetric procedures is considered. It serves little purpose to discuss the selection of methods of anesthesia unless there is a corresponding effort to encourage the application of these methods with the best judgment and the greatest skill. It should be recognized that increased benefit to the patient does not automatically result from the careful selection of a particular method of anesthesia. As a practical consideration, a further reduction in the mortality and morbidity in obstetric anesthesia
Whitacre RJ, Cressman PG. CHOICES OF ANESTHESIA FOR OPERATIVE VAGINAL AND ABDOMINAL DELIVERY. JAMA. 1951;145(15):1118–1122. doi:10.1001/jama.1951.02920330008003
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