Recently, there was a news report of a 29-week obstetric patient in Colorado with severe COVID-19 pneumonia who required placement on ECMO (asamonitor.pub/3susTaG). Following cannulation for ECMO, delivery of her premature neonate by cesarean section ensued. Her successful outcome required coordination among many team members, including a fellowship-trained OB anesthesiologist. An OB anesthesiology fellowship can provide the skills and confidence to care for such critically ill patients.

Some trainees learn very early on that the obstetric anesthesiology rotation provides for some of the most rewarding clinical experiences. A typical day on L&D may range from routine patient care, such as treating labor pain with lumbar epidurals and celebrating in the OR with new parents during scheduled cesarean sections, to more emergent situations, such as resuscitating a new mother with post-partum hemorrhage or converting to general anesthesia when a placenta accreta is discovered during a routine cesarean section. Through...

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