Pulmonary aspiration during pregnancy or immediately postpartum in the UK: a two-year national descriptive study
M Knight , D Bogod *, DN Lucas †, A Quinn §, JJ Kurinczuk
National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK , *Department of Anaesthetics, Nottingham University Hospitals NHS Trust, Nottingham, UK
†Department of Anaesthetics, Northwick Park Hospital, London, UK, §Department of Anaesthetics, Leeds General Infirmary, Leeds, UK
-Inform the woman that she may drink during established labour and that isotonic drinks may be more beneficial than water.
-Inform the woman that she may eat a light diet in established labour unless she has received opioids or she develops risk factors that make a general anaesthetic more likely.
NICE Guideline CG190 (2014) Intrapartum care for healthy women and babies
•The risk of gastric content inhalation is increased by both emergency general anaesthesia and pregnancy; despite this, there are no epidemiological data for the UK on maternal pulmonary aspiration in pregnancy.
•Recent amendments to the National Institute for Health and Care Excellence (NICE) guidelines1 no longer restrict maternal oral intake during established labour, and this has the potential to increase the incidence of pulmonary aspiration in pregnancy.
•The aim of this study was to identify all cases of maternal pulmonary aspiration (figure 1) in the UK and describe the subsequent outcomes.
Cases were identified between 01/09/2013 and 31/08/2015 using the UK Obstetric Surveillance System (UKOSS) monthly mailing to all consultant-led maternity units in the UK.