Secondary Logo

Journal Logo

September 2020 - Volume 40 - Issue 3

  • Regina Fragneto
    Patricia Dalby
    Emily E. Sharpe, MD
  • 0275-665X
  • 1536-5395
  • 4 issues / year

In this issue of Obstetric Anesthesia Digest, we feature manuscripts about two interesting topics. The first is postpartum maternal depression (PPD) and the provision of labor analgesia and its quality in relationship to PPD. This topic has an original manuscript and an editorial. The second topic is the practice of two different umbilical cord clamping regimens and their maternal and fetal potential side effects. There are two original manuscripts that are abstracted on this latter topic with an abstracted editorial.

Epidural Analgesia During Childbirth and Postpartum Depressive Symptoms: A Population-Based Longitudinal Cohort Study" by P Eckerdal et al. from Sweden. It was published in Anesthesia and Analgesia this year;  This large clinical trial that looked at three patient confounders associated with postpartum depression. The article is accompanied by an editorial by G Lim et al. that is titled “Labor Pain, Analgesia, and Postpartum Depression: Are we asking the Right Questions?” This editorial looks at the confounding variable adjustments made in the Swedish study and  then discusses their implications in global populations of women with PPD.

Two original manuscripts address the second topic of umbilical cord management directly after delivery.  These two management strategies are immediate umbilical cord clamping after “milking” the retained umbilical cord blood versus delayed clamping for a variable time to collect cord blood.  These were both published in JAMA in late 2019 and are accompanied by an editorial by H Rabe and O Anderson and is titled: “Maternal and Infant Outcomes After Different Methods of Umbilical Cord Management”. The first article, written by SE Purish et al. is titled “Effect of Delayed vs Immediate Umbilical Cord Clamping on Maternal Blood Loss in Term Cesarean Delivery: A Randomized Clinical Trial”.

The second article looked at the different umbilical cord management in the more vulnerable population of preterm infants. This large, multicenter, and global study is titled "Association of Umbilical Cord Milking vs Delayed Umbilical Cord Clamping with Death or Severe Intraventricular Hemorrhage Among Preterm Infants” by A Katheria et al. The editorial discusses the recommendation of delayed umbilical cord clamping originally made by the World Health Organization.

OAD Editors,

Regina Y. Fragneto, MD
Emily E. Sharpe, MD
Patricia L. Dalby, MD 

Current Issue Highlights

Planned Early Delivery or Expectant Management for Late Preterm Preeclampsia (PHOENIX): A Randomized Controlled Trial

Chappell, L.C.; Brocklehurst, P.; Green, M.E.; More

Obstetric Anesthesia Digest. 40(3):136-137, September 2020.

Alternative Methods of Analgesia

Regional Analgesia

Regional Anesthesia

Postoperative Analgesia