This rotation is based at the University Hospital and is two months in duration, with the option for more time to be spent as an elective during the CA-3 year. It is a busy rotation with an active mix of both low and high risk patients. Parturients requiring a high level of care are transferred to Loma Linda University Medical Center from all over Southern California.
The obstetrical unit has 3 dedicated operating rooms for cesarean sections, tubal ligations, and other obstetrical surgeries. The OB department is very busy, averaging more than 3000 births per year, (approximately 800 by cesarean section). Anesthetic procedures include a variety of regional techniques (including epidurals, spinals, saddle blocks, and combined spinal-epidurals) as well as general anesthesia. Residents thus become very proficient in both regional and general anesthesia for the obstetric population.
Upon completion of the two month rotation, residents:
Are competent in performing a thorough preanesthesia evaluation of the parturient.
Are comfortable with the various regional anesthetic techniques employed in an active OB practice as well as less commonly performed techniques utilized for emergency situations.
Are able to recognize the distinctive physiologic needs of the parturient and the fetus, including the unique pulmonary, cardiovascular, and airway challenges presented.
Obtain a thorough knowledge of neuraxial anesthesia as it relates to the obstetric population and how to treat associated complications.
Understand the action of local anesthetic agents as well as common side effects.
This rotation is directed by Monica Neumann, MD.