This course gives anesthesia providers a clear, clinically focused review of how common anesthetic drugs cross the placenta and impact the fetus—before, during, and after delivery. You’ll examine fetal effects of induction agents, inhaled agents, opioids, neuromuscular blockers, local anesthetics, anticholinergics, and vasoactive drugs, with special attention to timing, dosing, and drug selection. By the end, you’ll be able to anticipate neonatal consequences such as respiratory depression, diffusion hypoxia, acidosis, and neurobehavioral changes, and adjust your anesthetic plan to optimize safety for both mother and baby.