Obstetric anaesthesia refers to peripartum anaesthetic and analgesia care provided during antenatal period, labour, vaginal delivery, caesarean sections, removal of retained placenta, postpartum hemorrhage and postpartum tubal ligation. In wide perspective, obstetric anaesthesia also includes neonatal resuscitation, caring of the parturient with intercurrent disease, and obstetrical intensive care management.
Obstetric anaesthesia is a recognized subspecialty of anaesthesia with worldwide established fellowship and masters programmes. These programmes aim at educating obstetric anaesthetists with the overall objectives of enhancing the quality of anaesthetic care for obstetric patients, improving patient safety and satisfaction.
At the Aga Khan University Hospital, 3500-4000 deliveries are performed per year. Services are provided for elective cases as well as 24 hours coverage for all obstetric emergencies and labour epidural.
With the establishment of high risk obstetric clinic in 2006, high risk cases requiring anaesthesia services are also received. Besides catering to high risk booked patients from the clinic, AKUH also serves as a tertiary care center. High risk patients are referred from other centers including secondary health care facilities of AKUH, requiring anaesthesia services both for surgeries and intensive care management.
Currently in Pakistan there is no formal fellowship programme in obstetric anaesthesia with no formal training in clinical, educational, research and administrative aspects of obstetric anaesthesia.
Goals & Objectives
The Obstetric Anaesthesia fellowship will enable fellows to acquire an advanced body of knowledge and level of skills in the management of parturient particularly high risk parturient. At the end of obstetric anaesthesia fellowship, fellows will develop the knowledge, attitude and skills necessary for the anaesthesia management of all normal and complicated obstetric patients. This will allow fellows to assume a future leadership role in academics or private practice in the field of obstetric anesthesiology.
There is one obstetric fellowship position offered per year.
The applicants must have completed an approved four years programme in anaesthesiology.
At the time of commencement of fellowship training the applicant must be either holding FCPS anaesthesia or equivalent degree or eligible to appear in FCPS-II or equivalent.