Anesthesia Considerations 

Method of Delivery

• Vaginal delivery considered unless c-section reqd for usual obstetric indications

  • Cervical ripening if vaginal delivery planned & cervix unfavourable

• If gestational age not near term + fetal compromise: may benefit from emergency c-section

• Continue anti-HTN Rx throughout L&D to keep SBP <160 mmHg & DBP<110 mmHg

• Active mgt of 3rd stage w/ oxytocin

  • Do not use ergometrine if HDP

 

 

Adapted from SOGC Clinical Practice Guideline. Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy: Executive Summary. J Obstet Gynaecol Can 2014;36(5):416–438