Failed intubation and ventilation are important causes of anesthetic-relate
d maternal mortality. The purpose of this article is to review the complex
issues in managing the difficult airway in obstetric patients. The importan
ce of prompt and competent decision making in managing difficult airways, a
s well as a need for appropriate equipment is emphasized. Four case reports
reinforce the importance of a systematic approach to management. The overa
ll preference for regional rather than general anesthesia is strongly encou
raged. The review also emphasizes the need for professional and experienced
team cooperation between the obstetrician and the anesthesiologist for the
successful management of these challenging cases.