Anesthesiology Clinics RSS feed. https://www.anesthesiology.theclinics.com/issues?journalCode=xatc&publicationCode=xatc&rss=yes Elsevier Inc. en © 2026 Published by Elsevier Inc. All rights reserved. Anesthesiology Clinics 1932-2275 2026-04-30-07:00 © 2026 Published by Elsevier Inc. All rights reserved. permissionshelpdesk@elsevier.com https://www.anesthesiology.theclinics.com/article/S1932-2275(26)00026-1/fulltext?rss=yes Administration of anesthetic care in the peripartum period represents numerous areas where vigilance in clinical care and implementation of systematic safety measures are needed to improve maternal outcomes. Obstetric anesthesia care often necessitates expeditious intervention in an environment where both maternal and fetal conditions change rapidly. A thorough understanding of the risks of each intervention as well as best practices to improve maternal safety are critical to optimize patient outcomes. Continued reassessment of protocols and implementation of new evidence and consensus-based guidelines are needed to continually enhance maternal safety in this complex health care environment. Patient Safety in Obstetric Anesthesiology: Current Challenges and Prevention Strategies Emily E. Sharpe, Mark D. Rollins 10.1016/j.anclin.2026.02.016 Anesthesiology Clinics (2026) 2026-04-08 Anesthesiology Clinics 2026-04-08 https://www.anesthesiology.theclinics.com/article/S1932-2275(26)00031-5/fulltext?rss=yes Maternal cardiac arrest occurs in 1 of 12,000 to 36,000 pregnancies and presents with unique etiologies and physiologic considerations. Pregnancy alters resuscitation dynamics, making key modifications to advanced cardiac life support protocols such as left uterine displacement, early and effective airway management, and consideration of perimortem cesarean delivery, crucial for successful resuscitation. Extracorporeal life support may be indicated in refractory cases and must account for unique maternal physiology, like increased oxygen consumption and cardiac output. Despite its complexity, maternal cardiac arrest can have favorable outcomes with timely multidisciplinary care, highlighting the importance of preparedness in maternal code response. Cardiac Arrest and Extracorporeal Membrane Oxygenation in the Peripartum Period A. Taylor Thomas, Jamel Ortoleva, Emily E. Naoum 10.1016/j.anclin.2026.02.019 Anesthesiology Clinics (2026) 2026-04-06 Anesthesiology Clinics 2026-04-06 https://www.anesthesiology.theclinics.com/article/S1932-2275(26)00027-3/fulltext?rss=yes Breakthrough pain during cesarean delivery refers to a patient reporting significant pain or intense uncomfortable pressure; it is a patient-reported outcome that occurs in up to one-third of patients, depending on anesthetic risk factors (eg, epidural anesthesia) and obstetric scenarios (eg, intrapartum cesarean delivery, prolonged surgery). In this review, important considerations to better understand what breakthrough pain during cesarean delivery under neuraxial anesthesia is, how to measure and report it, and strategies to prevent, mitigate and manage its occurrence and associated consequences are discussed. Experiencing breakthrough pain during cesarean delivery is associated with childbirth-related post-traumatic stress disorder. Breakthrough Pain During Cesarean Delivery Ruth Landau 10.1016/j.anclin.2026.02.017 Anesthesiology Clinics (2026) 2026-04-06 Anesthesiology Clinics 2026-04-06 https://www.anesthesiology.theclinics.com/article/S1932-2275(26)00025-X/fulltext?rss=yes Thrombotic pulmonary and venous embolism remains a leading cause of maternal mortality in the United States, prompting expanded venous thromboembolism prophylaxis guidelines from organizations such as the American College of Obstetricians and Gynecologists, Royal College of Obstetricians and Gynaecologists, American College of Chest Physicians, and American Society of Hematology. Increased pharmacologic thromboprophylaxis, particularly with heparins, complicates decisions regarding neuraxial anesthesia due to the risk of spinal epidural hematoma, while general anesthesia carries higher maternal risks. Guidance from the Society for Obstetric Anesthesia and Perinatology and American Society of Regional Anesthesia and Pain Medicine supports individualized risk assessment. Balancing Anticoagulation and Neuraxial Procedures in the Peripartum Period: An Update Roulhac D. Toledano, Lisa Leffert 10.1016/j.anclin.2026.02.015 Anesthesiology Clinics (2026) 2026-04-02 Anesthesiology Clinics 2026-04-02 https://www.anesthesiology.theclinics.com/article/S1932-2275(26)00028-5/fulltext?rss=yes This article reviews disparities in obstetric anesthesia within the broader context of maternal health inequities in the United States, where severe maternal morbidity and mortality remain disproportionately high among marginalized populations. The essential role of anesthesiologists in labor analgesia, cesarean delivery, postpartum pain, and critical care during obstetric emergencies is examined. Actionable strategies for change are focused at the institutional and individual levels, and research gaps are highlighted. Disparities in Obstetric Anesthesia Mellany Stanislaus, Allison Lee 10.1016/j.anclin.2026.02.018 Anesthesiology Clinics (2026) 2026-03-31 Anesthesiology Clinics 2026-03-31