Chapter 15. A Rational Approach to Aspiration Prophylaxis

  1. Stephen H. Halpern1 and
  2. M. Joanne Douglas2
  1. Geraldine O'Sullivan,
  2. Darren Hart and
  3. Andrew Shennan

Published Online: 12 NOV 2007

DOI: 10.1002/9780470988343.ch15

Evidence-based Obstetric Anesthesia

Evidence-based Obstetric Anesthesia

How to Cite

O'Sullivan, G., Hart, D. and Shennan, A. (2005) A Rational Approach to Aspiration Prophylaxis, in Evidence-based Obstetric Anesthesia (eds S. H. Halpern and M. J. Douglas), Blackwell Publishing Ltd, Oxford, UK. doi: 10.1002/9780470988343.ch15

Editor Information

  1. 1

    Director of Obstetrical Anaesthesia, Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

  2. 2

    Clinical Professor, Department of Anaesthesia, University of British Columbia and British Columbia's Women's Hospital, Vancouver, British Columbia, Canada

Publication History

  1. Published Online: 12 NOV 2007
  2. Published Print: 1 JAN 2005

ISBN Information

Print ISBN: 9780727917348

Online ISBN: 9780470988343



  • aspiration prophylaxis;
  • gastroesophageal reflux;
  • labor duration;
  • plasma metabolites;
  • incidence of vomiting


This chapter contains sections titled:

  • Introduction

  • Historical perspective

  • Pregnancy physiology and the risk of gastric aspiration

  • Decline in maternal mortality from pulmonary aspiration of gastric contents

  • Adverse effects of starvation

  • Are nil-by-mouth policies effective?

  • Labor duration

  • Mode of delivery

  • Incidence of vomiting

  • Plasma metabolites

  • Other outcomes

  • Conclusions

  • Acknowledgment