Alexander Butwick was interested in hematological and hemostatic changes in pregnancy which are relevant to obstetric anesthetic practice. There are important hematological changes that occur in the peripartum period, and I am interested in the mechanisms by which anesthetic interventions affect these hematological changes with concomitant effects on maternal outcomes. We are also investigating the use of point-of-care systems (such as thromboelastography) to assess coagulation and hemostatic changes in the peri and postpartum period. Previous research has included: the assessment of hypothermia and shivering in patients undergoing Cesarean delivery; the effect of fluid preloading on coagulation; assessments of anesthetic interventions for patients undergoing vaginal twin delivery.
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