Anesthetic Challenges and Management of Obstetric Emergencies in a Secondary Care Hospital in a Remote Mining Area: A Case Series

Obstetrical emergencies are life-threatening situations that can arise during pregnancy, labor, and post-delivery. Despite advances in the healthcare system, pregnancy-related complications like antepartum and postpartum hemorrhage, pre-eclampsia, and eclampsia are still the leading causes of maternal and fetal mortality in India. This case series describes anesthetic management in five obstetric cases for cesarean section and laparotomy and also highlights the magnitude of maternal and perinatal conditions following an event, with which they report to the hospital, where, in most of the cases, there was no time for optimization, and the lives of both the mother and fetus were at risk. It was a challenging task to deliver anesthesia services to these high-risk patients with complications and comorbidities, including but not limited to pregnancy-induced hypertension, severe anemia, and hemorrhage. A diligent approach, close collaboration with interdisciplinary teams, and intervention at the appropriate time ensured the best possible outcome.