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October 16, 2002

Anesthesia and Preeclampsia

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;288(15):1847-1848. doi:10.1001/jama.288.15.1845

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

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