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REVIEW ARTICLE
Year : 2013  |  Volume : 29  |  Issue : 4  |  Page : 435-444

Regional anesthesia in patients with pregnancy induced hypertension


1 Department of Anesthesia, Toronto Western Hospital, University Health Network, McL 2 405, Toronto, ON, M5T 2S8
2 Department of Anesthesia, Christian Medical College, Vellore, Tamil Nadu
3 Department of Anesthesia, Dayanand Medical College, Ludhiana, Punjab

Correspondence Address:
Saravanan P Ankichetty
Fellow in Regional Anesthesia and Pain Management, Toronto Western Hospital, University of Toronto

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Source of Support: Department of Anesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada, Conflict of Interest: None declared


DOI: 10.4103/0970-9185.119108

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Pregnancy induced hypertension is a hypertensive disorder, which occurs in 5% to 7% of all pregnancies. These parturients present to the labour and delivery unit ranging from gestational hypertension to HELLP syndrome. It is essential to understand the various clinical conditions that may mimic preeclampsia and the urgency of cesarean delivery, which may improve perinatal outcome. The administration of general anesthesia (GA) increases morbidity and mortality in both mother and baby. The provision of regional anesthesia when possible maintains uteroplacental blood flow, avoids the complications with GA, improves maternal and neonatal outcome. The use of ultrasound may increase the success rate. This review emphasizes on the regional anesthetic considerations when such parturients present to the labor and delivery unit.


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