Obstetric regional blocks for women with multiple sclerosis: a survey of UK experience

Obstetric anesthesia/analgesia does not affect disease course in multiple sclerosis: 10‐year retrospective cohort study

“…in the United Kingdom. In their questionnaire given to 592 anesthesiologists on obstetric regional blocks for MS women, RA vastly dominated; 2% would prefer GA for elective CS and 3% would give GA for emergency CS with time only for single‐shot spinal (Drake, Drake, Bird, & Russell, 2006). …”

Manejo anestésico en cesárea de una gestante con esclerosis múltiple: reporte de un caso y revisión de la literatura

“…Las enfermedades neurológicas preexistentes aún representan un problema, debido a litigios legales; por lo tanto, algunos anestesiólogos tienden a preferir anestesia general, como lo reportan Vercauteren y Heytens 8 , o el estudio retrospectivo de Drake et al 9 , aunque no hay pruebas sólidas acerca de complicaciones graves relacionadas con la anestesia regional en estos pacientes.…”

UK registry of high-risk obstetric anaesthesia: report on neurological disease

“…In a UK-wide survey by Drake et al the majority of anaesthetists stated they were willing to perform regional anaesthesia provided the mother understood the relapse risk, full consent was given and adequate follow-up provided. 8 Those women who have been paralysed in the past may be unable to cope with the motor block associated with regional anaesthesia but will accept a low-dose epidural for pain relief in labour. 9 One of the patients with a past history of transverse myelitis was willing to accept epidural analgesia for labour but unable to accept the motor block required for an operative delivery, therefore she had general anaesthesia.…”