Problems in obstetric anaesthesia

Advances in medical management and technologies have increased the prospects of women with severe chronic disease achieving pregnancy. Women with complex needs are becoming more commonplace on labour suite and are posing an increasing challenge to healthcare professionals. The management of dilated cardiomyopathy, postpartum headache and haemophilia are discussed using three theoretical cases. These cases illustrate the issues for both the anaesthetic and obstetric teams and highlight the importance of a multidisciplinary approach where good communication is essential in achieving the safest possible outcome for such patients.