Obstetric: Preeclampsia

Abstract

In this chapter the essential aspects of anesthesia for preeclampsia are discussed. Subtopics include HELLP syndrome, a life-threatening liver disorder comprising hemolysis, elevated liver enzymes, and low platelet count. Other subtopics addressed are eclampsia, disseminated intravascular coagulation, magnesium therapy, and hydralazine. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics include potential effects of drug use on the mother and fetus, and identifying preeclampsia. Issues discussed related to intraoperative management include magnesium therapy, thrombocytopenia, and fetal heat rate deceleration. Postoperative concerns discussed are assessment and treatment of postpartum hemorrhage, seizure, and hypotension.