Clinical Expertise

Specialized Expertise in High-Risk Obstetric Anesthesia

Providing specialized anesthetic care for complex pregnancies requires careful planning, evidence-based clinical decisions, and effective collaboration among multidisciplinary teams.

Dr. Jason G. Hirsch's clinical and academic work at UCLA focuses on high-risk obstetric anesthesia, maternal safety, and perioperative quality improvement. His areas of expertise include hypertensive disorders of pregnancy, obstetric hemorrhage, cardiovascular disease in pregnancy, and enhanced recovery after cesarean delivery.

Preeclampsia & Hypertensive Disorders of Pregnancy

Specialized anesthetic management for complex hypertensive conditions.

Severe preeclampsia and other hypertensive disorders of pregnancy can present significant challenges during labor, delivery, and the perioperative period.

Dr. Hirsch's clinical focus includes anesthetic considerations for patients with severe preeclampsia, with an emphasis on maternal safety, careful clinical assessment, and evidence-based management.

Areas of focus:

  • Anesthetic considerations for severe preeclampsia

  • Management considerations for pregnancy-related hypertension

  • Perioperative planning for complex obstetric conditions

  • Clinical education for residents and fellows

Obstetric Hemorrhage & Emergency Preparedness

Strengthening readiness for major obstetric bleeding.

Major obstetric hemorrhage requires rapid recognition, coordinated teamwork, and access to appropriate resources. Dr. Hirsch has led the development of UCLA Santa Monica's rapid-infuser response protocol for massive obstetric hemorrhage.

His quality improvement work emphasizes clinical preparedness, staff education, and coordination with the blood bank.

Areas of focus:

  • Massive obstetric hemorrhage response protocols

  • Rapid-infuser preparedness and implementation

  • Blood bank coordination and transfusion planning

  • Staff training and multidisciplinary emergency response

High-Risk Cardio-Obstetric Anesthesia

Anesthetic considerations for pregnancy complicated by cardiovascular disease.

Pregnancy can place additional demands on the cardiovascular system, making individualized planning important for patients with significant cardiac conditions.

Dr. Hirsch contributes to multidisciplinary cardio-obstetric care through his involvement with UCLA's Cardio-Obstetric Committee.

Areas of focus:

  • Cardiovascular disease during pregnancy

  • Pulmonary hypertension in pregnancy

  • Anesthetic planning for complex maternal cardiac conditions

  • Coordination with multidisciplinary clinical teams

Enhanced Recovery After Cesarean Delivery

Evidence-based approaches to perioperative care and recovery.

Enhanced Recovery After Cesarean Section (ERACS) initiatives aim to improve the patient experience and optimize care before, during, and after cesarean delivery.

Dr. Hirsch established and continues to lead UCLA's ERACS initiative, supporting the development and refinement of evidence-based perioperative practices.

Areas of focus:

  • Perioperative care protocols for cesarean delivery

  • Evidence-based recovery pathways

  • Intraoperative and postoperative care optimization

  • Continuous quality improvement

Placenta Accreta Spectrum

Careful anesthetic planning for pregnancies associated with major hemorrhage risk.

Placenta accreta spectrum describes conditions in which the placenta attaches abnormally deeply to the uterine wall. These pregnancies may require complex delivery planning and coordinated multidisciplinary care.

Dr. Hirsch's experience includes anesthetic planning for patients with placenta accreta spectrum, with an emphasis on preparedness for significant bleeding and complex perioperative needs.

Areas of focus:

  • Pre-delivery anesthetic planning

  • Hemorrhage preparedness and transfusion coordination

  • Multidisciplinary coordination for complex deliveries

  • Perioperative risk assessment

Clinical Education & Quality Improvement

Advancing standards of care through education and clinical innovation.

Alongside clinical practice, Dr. Hirsch contributes to medical education and initiatives designed to improve the safety and effectiveness of obstetric anesthesia.

His academic work includes fellowship training, resident education, protocol development, and the evaluation of clinical practices.

Areas of focus:

  • Obstetric anesthesiology fellowship education

  • Resident and fellow teaching

  • Clinical protocol development

  • Maternal safety and quality improvement initiatives

  • Evidence-based clinical practice

Get in Touch

For professional, academic, or appropriate clinical inquiries, please contact:

Jason G. Hirsch, MD


Department of Anesthesiology & Perioperative Medicine · UCLA Health · Santa Monica