Labor analgesia for the parturient with pregnancy-induced hypertension: what does an obstetrician need to know?

Krzysztof M Kuczkowski

Journal: Archives of gynecology and obstetrics 2006;272(3):214-7

PMID: 15660264

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Abstract

INTRODUCTION

Pregnancy-induced hypertension (PIH), also known as preeclampsia, remains one of the leading causes of maternal death worldwide. The term preeclampsia describes the development of hypertension with proteinuria and/or pathologic edema after the 20th week of gestation. The parturient with PIH usually has multiple organ alterations, which may affect the selection of analgesia and anesthesia for labor and delivery.

DISCUSSION

This article reviews the special concerns posed by PIH, one of the most common medical conditions encountered in pregnancy.

Address: Departments of Anesthesiology and Reproductive Medicine, UCSD Medical Center, 200 West Arbor Drive, San Diego, CA 92103-8770, USA. [email protected]

DOI: 10.1007/s00404-004-0714-y

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MeSH Terms: Analgesia, Obstetrical, Blood Coagulation Disorders, Edema, Female, Humans, Hypertension, Pregnancy-Induced, Magnesium Sulfate, Pregnancy, Pregnancy Complications, Cardiovascular, Pregnancy Outcome, Vascular Resistance