RT Book, Section A1 Moldysz, Anna A2 Hess, Philip E. A2 Li, Yunping A2 Kowalczyk, John J. A2 Stiles, Justin K. SR Print(0) ID 1199674354 T1 Aspiration T2 Obstetric Anesthesia: Quick References & Practical Guides YR 2023 FD 2023 PB McGraw Hill PP New York, NY SN 9781264671465 LK obgyn.mhmedical.com/content.aspx?aid=1199674354 RD 2024/04/19 AB Aspiration of gastric contents can cause a chemical pneumonitis characterized by tachypnea, hypoxia, and fever, first described by Mendelson in 1946.1 The incidence of mortality from aspiration during anesthesia for labor and delivery has declined over the recent decades. Data from Mothers and Babies—Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK), which is the most comprehensive database on maternal mortality, suggests aspiration has not been a contributing factor to maternal mortality since 2009.2 The Serious Complication Repository Project in the United States evaluated 257,000 deliveries at 30 institutions between 2004 and 2009, found no reported cases of aspiration.3 This decline is likely due to: