Early involvement of the anaesthetist in the management of these women is paramount.
The decision for embolization must be made by all of the multidisciplinary team (obstetrician, anaesthetist and interventional radiologist).
The treatment is continuously monitored by the physicists who are also able to pause the treatment should the anaesthetist need to intervene.
There should be a low threshold for calling on the help and advice of anaesthetists experienced in managing these cases as and when necessary.
A clear plan can then be developed with input from the obstetrician, thrombosis specialist and anaesthetist prior to the delivery.
Finally, the capacity to benefit of patients, old and young, is related to the skills and techniques of surgeons and anaesthetists.
The training courses were conducted within the local maternity unit and were run by a multi-professional team of midwives, obstetricians and anaesthetists.
The plan must include a multidisciplinary team for her antenatal care and delivery and so anaesthetists should be involved from early on in the pregnancy.
