RT Journal
A1 Mandal NG
T1 ANesthesia and preeclampsia
JF JAMA
JO JAMA
YR 2002
FD October 16
VO 288
IS 15
SP 1847
OP 1848
DO 10.1001/jama.288.15.1845
UL http://dx.doi.org/10.1001/jama.288.15.1845
AB 
To the Editor: In their Contempo Updates article
on preeclampsia, Drs Lain and Roberts1 did
not mention the role of regional analgesia and anesthesia (eg, spinal, epidural,
and combined spinal-epidural) in high-risk patients. Although controversial,
many investigators have recommended the use of epidural anesthesia in severe
preeclampsia and eclampsia to help control blood pressure and pain and increase
uterine and renal perfusion.2 One study
has also found a higher Apgar score in infants whose mothers received epidural
anaesthesia.3 It is a common practice to
use these regional techniques (when they are not contraindicated) in such
patients for peripartum care.4