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We thank Froessler et al. [1] for their comments highlighting the need for targeted interventions to improve postpartum care [2]. We agree that obstetric anaesthetists play a vital role as peri-operative physicians in improving peripartum care and implementing evidence-based interventions including blood management and co-ordinating anaemia remediation.
Boerma T. Ronsmans C. Melesse D. et al. Global epidemiology of use of and disparities in caesarean sections. Lancet. 2018; 392: 1341-1348 Bamber J. Lucas D. Plaat F. Russell R. Obstetric anaesthetic practice in the UK: a descriptive analysis of the national obstetric anaesthetic Database 2009–14. Br J Anaesth. 2020; 125: 580-587 Roofthooft E. Joshi G. Rawal N. Van de Velde M.
Highlights: • PoCUS is point-of-care ultrasound. • Evidence-based suggestions for using gastric PoCUS in obstetrics. • Antral cross-sectional area a valid surrogate for gastric fluid volume estimation. • Gastric emptying of fluid, not food, appears unaffected by term pregnancy or labour. • Gastric PoCUS adds information facilitating individual aspiration risk assessment.
Reply Editor—We would like to thank Dr Nair for his comments on our article.1 While the NICE guidelines of 2008 recommend warming adult patients undergoing surgery,2 the benefits of warming obstetric parturients undergoing elective Caesarean delivery remain unclear. Furthermore, both the American College of Obstetricians and Gynecologists (ACOG) and Royal College of Obstetricians and Gynaecologists …
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