Epidural Anesthesia in Toxemia of Pregnancy

David B. Seifer, George A. Albright, Marshall D. Lindheimer, Adrian I. Katz

Research output: Contribution to journalLetterpeer-review


To the Editor: In their review of hypertension in pregnancy (Sept. 12 issue),1 Lindheimer and Katz state, “Epidural block should be avoided, since in preeclampsia it is associated with sudden and marked falls of blood pressure and on occasion with vascular collapse.” Obstetric anesthesiologists generally believe that epidural anesthesia is the analgesic method of choice for labor and delivery in patients with toxemia if plasma volume deficit has been corrected, coagulation is adequate, and blood pressure (diastolic pressure less than 110 torr) is controlled by other means.2 3 4 Regional anesthesia is the most effective and reliable method of providing adequate pain.

Original languageEnglish (US)
Pages (from-to)582-583
Number of pages2
JournalNew England Journal of Medicine
Issue number9
StatePublished - Feb 27 1986

ASJC Scopus subject areas

  • General Medicine


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