Skip to main content

The Patient with Pregnancy-Induced Hypertension

  • Chapter
Preanesthetic Assessment 1
  • 49 Accesses

Abstract

A 25-year-old parturient, para 2-0-1-2, at 36 weeks gestation, was admitted to the labor floor complaining of seeing spots before her eyes and sudden weight gain. Blood pressure was 180/120. There was a history of two previous cesarean sections under general anesthesia, indications and uterine scars unknown. Details of prenatal care during this pregnancy were unobtainable.

Reviewed by Dr. Gertie F. Marx, Professor and Director of Obstetric Anesthesiology, Albert Einstein College of Medicine of Yeshiva University, Bronx, New York.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Hughes E.C. (ed): Obstetric-Gynecologic Terminology. Philadelphia, F.A. Davis CO, 1972.

    Google Scholar 

  2. Thompson J.F.: The vital statistics of reproduction, in Danforth D.N. (ed): Obstetrics and Gynecology, 3rd ed, New York, Harper and Row, 1977.

    Google Scholar 

  3. Friedman E.A., Neff R.K.: Pregnancy Hypertension. Littleton, Mass, PSG Publishing Co, 1977.

    Google Scholar 

  4. McLean R., Mattison E.T., Cochrane N.E.: Maternal mortality study annual report 1970–1976. NY State J Med 55:39, 1979.

    Google Scholar 

  5. Naeye R.L., Friedman E.A.: Causes of perinatal death associated with gestational hypertension and proteinuria. Am J Obstet Gynecol 133:8, 1979.

    PubMed  CAS  Google Scholar 

  6. Robertson W.B., Brosen S.I., Dixon H.G.: The pathological response of vessels of the placental bed to hypertensive pregnancy. J Pathol Bacteriol 93:581, 1967.

    Article  PubMed  CAS  Google Scholar 

  7. Gutsche B.B.: Anesthetic considerations for eclampsia-preeclampsia, in, Shnider S.M., Levinson G. (eds): Anesthesia for Obstetrics. Baltimore, Williams and Wilkins, 1979.

    Google Scholar 

  8. Redman C.W.G.: Immunological factors in the pathogenesis of preeclampsia. Contrib Nephrol 25:120, 1981.

    PubMed  CAS  Google Scholar 

  9. Gant N.F., et al: A study of angiotensin II pressor response throughout primigravid pregnancy. J Clin Invest 52:2682, 1973.

    Article  PubMed  CAS  Google Scholar 

  10. Wright J.P.: Anesthetic considerations in preeclampsia-eclampsia. Anesth Analg 63:590, 1983.

    Google Scholar 

  11. Assali N.S., Vaughan D.L.: Blood volume in preeclampsia: Fantasy and reality. Am J Obstet Gynecol 129:355, 1975.

    Google Scholar 

  12. Tarazi R.C., et al: Relation of plasma to interstitial fluid volume in essential hypertension. Circulation 40:357, 1969.

    PubMed  CAS  Google Scholar 

  13. Chesley L.C.: Disorders of the kidney, fluids and electrolytes, in, Assali N.S., Brinkman C.R. (eds): Pathophysiology of Gestation, Vol. 1. Maternal Disorders. New York, Academic Press, 1972.

    Google Scholar 

  14. Kleckner H.B., et al: The association of maternal and neonatal thrombocytopenia in high-risk pregnancies. Am J Obstet Gynecol 128:235, 1977.

    PubMed  CAS  Google Scholar 

  15. Pritchard J.A., et al: Coagulation changes in eclampsia: their frequency and pathogenesis. Am J Obstet Gynecol 124:855, 1976.

    PubMed  CAS  Google Scholar 

  16. Kelton J.G., et al: A platelet function defect in preeclampsia. Obstet Gynecol 65:107, 1985.

    PubMed  CAS  Google Scholar 

  17. Marx G.F., Bassell G.M.: Anesthetic considerations in hypertensive disorders of pregnancy, in, Gallagher T.J. (ed): Advances in Anesthesia. Chicago, Year Book Medical Publishers, 1984.

    Google Scholar 

  18. James F.M.: Pregnancy induced hypertension, in, James F.M., Wheeler A.S. (eds): Obstetric Anesthesia: The Complicated Patient. Philadelphia, F.A. Davis Co., 1982.

    Google Scholar 

  19. Goodlin R.C.: Fetal medication in high-risk pregnancies. Obstet Gynecol 34:109, 1969.

    PubMed  CAS  Google Scholar 

  20. Shnider S.M., Wright R.S., Levinson G. et al: Uterine blood flow and plasma norepinephrine changes during maternal stress in the pregnant ewe. Anesthesiology 50:525, 1979.

    Article  Google Scholar 

  21. Shnider S.M., Gildea J.: Paracervical block in obstetrics. III. Choice of drug: Fetal bradycardia following administration of lidocaine, mepivacaine, and prilocaine. Am J Obstet Gynecol 116:320, 1973.

    PubMed  CAS  Google Scholar 

  22. Gibbs C.P.: Anesthetic management of the high risk gravida, in, Spellacy W.N. (ed): Management of the High-risk Pregnancy. Baltimore, University Park Press, 1976.

    Google Scholar 

  23. Pritchard J.A., Pritchard S.A.: Standardized treatment of 154 consecutive cases of eclapsia. Am J Obstet Gynecol 123:543, 1975.

    PubMed  CAS  Google Scholar 

  24. Donaldson J.O.: Neurology of Pregnancy. Philadelphia. W.B. Saunders, 1978.

    Google Scholar 

  25. Graham C., Goldstein A.: Epidural analgesia and cardiac output in severe preeclamptics. Anaesthesia 35:709, 1980.

    Article  PubMed  CAS  Google Scholar 

  26. Op cit ref 18, Crawford J.S., personal communication to James F.M., p 257.

    Google Scholar 

  27. Benedetti T.J., Quilligan E.J.: Cerebral edema in severe pregnancy induced hypertension. Am J Obstet Gynecol 137:860, 1980.

    PubMed  CAS  Google Scholar 

  28. Hodgkinson R., Husain F.J., Hayashi R.H.: Systemic and pulmonary pressure during cesarean section in parturients with gestational hypertension. Canad Anaesth Soc J 27:389, 1980.

    Article  PubMed  CAS  Google Scholar 

  29. Lewis P.E.: Placental transfer and fetal toxicity of sodium nitroprusside. Gynecol Invest 8:46, 1977.

    Google Scholar 

  30. Crowhurst J.A., Rosen M.: General anesthesia for cesarean section in severe preeclampsia: Comparison of the renal and hepatic effects of enflurane and halothane. Br J Anaesth 56:587, 1984.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Birkhäuser Boston

About this chapter

Cite this chapter

Patt, R.B. (1988). The Patient with Pregnancy-Induced Hypertension. In: Frost, E.A.M. (eds) Preanesthetic Assessment 1. Birkhäuser Boston. https://doi.org/10.1007/978-1-4612-4818-7_15

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-4818-7_15

  • Publisher Name: Birkhäuser Boston

  • Print ISBN: 978-1-4612-9174-9

  • Online ISBN: 978-1-4612-4818-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics