Publications by authors named "Giovanni Maddaloni"
Background: Improvements in diagnostics and clinical care have allowed more women of childbearing age, suffering from neurological diseases, to safely have pregnancy, reducing peripartum complications. However, these patients remain at risk and are a constant challenge for anesthesiologists in the delivery room.
Methods: To assess the type of anesthesiologic management performed for delivery in obstetric patients with preexisting neurological disease and who reported significant neurological symptoms during pregnancy, a retrospective observational study was carried out between 1 October 2008 and 30 September 2021.
Article Synopsis
- This study analyzes obstetric outcomes related to daytime vs. nighttime deliveries over an 11-year period, focusing on the use of labor epidurals.
- It includes data from 29,831 patients, showing that nighttime deliveries without epidurals had a higher rate of cesarean sections and vaginal operative deliveries.
- Additionally, nighttime deliveries with epidurals reported more anesthesiology complications, particularly accidental dural punctures, compared to daytime deliveries.