Abstract:
Hypertensive disorder is the most common medical problem encountered in
pregnancy. It remains an important cause of maternal, and foetal, morbidity and
mortality. Neuraxial anaesthesia techniques are most widely used for caesarean
delivery. We describe the anaesthetic management of a 40-year-female with gestational
hypertension undergoing caesarean section who presented with acute and extreme
rise of blood pressure (BP) (249/116 mmHg). Her BP was controlled quickly and she
was successfully managed by combined-spinal-epidural technique. This report shows
that carefully conducted neuraxial anaesthesia can be useful for caesarean delivery in parturients with severe elevation of BP where general anaesthesia is normally indicated.