{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:23:38Z","timestamp":1787847818568,"version":"build-2784847793"},"reference-count":70,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:p>Pregnancy induced hypertension is a hypertensive disorder, which occurs in 5% to 7% of all pregnancies. These parturients present to the labour and delivery unit ranging from gestational hypertension to HELLP syndrome. It is essential to understand the various clinical conditions that may mimic preeclampsia and the urgency of cesarean delivery, which may improve perinatal outcome. The administration of general anesthesia (GA) increases morbidity and mortality in both mother and baby. The provision of regional anesthesia when possible maintains uteroplacental blood flow, avoids the complications with GA, improves maternal and neonatal outcome. The use of ultrasound may increase the success rate. This review emphasizes on the regional anesthetic considerations when such parturients present to the labor and delivery unit.<\/jats:p>","DOI":"10.4103\/0970-9185.119108","type":"journal-article","created":{"date-parts":[[2013,10,1]],"date-time":"2013-10-01T06:27:34Z","timestamp":1380608854000},"page":"435-444","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":28,"title":["Regional anesthesia in patients with pregnancy induced hypertension"],"prefix":"10.4103","volume":"29","author":[{"given":"Saravanan P","family":"Ankichetty","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Toronto Western Hospital, University Health Network, McL 2 405, Toronto, ON, M5T 2S8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ki Jinn","family":"Chin","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Toronto Western Hospital, University Health Network, McL 2 405, Toronto, ON, M5T 2S8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent W","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Toronto Western Hospital, University Health Network, McL 2 405, Toronto, ON, M5T 2S8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Sahajanandan","sequence":"additional","affiliation":[{"name":"Christian Medical College, Vellore, Tamil Nadu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hungling","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Toronto Western Hospital, University Health Network, McL 2 405, Toronto, ON, M5T 2S8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anju","family":"Grewal","sequence":"additional","affiliation":[{"name":"Dayanand Medical College, Ludhiana, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anahi","family":"Perlas","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Toronto Western Hospital, University Health Network, McL 2 405, Toronto, ON, M5T 2S8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260528","first-page":"159","article-title":"ACOG Committee on Practice Bulletins - Obstetrics. ACOG practice bulletin","volume":"99","year":"2002","journal-title":"Diagnosis and management of preeclampsia and eclampsia. Number 33"},{"key":"R4-20260528","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1093\/bmb\/ldg005","article-title":"Pre-eclampsia and the hypertensive disorders of pregnancy","volume":"67","author":"Duley","year":"2003","journal-title":"Br Med Bull"},{"key":"R5-20260528","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1093\/bja\/59.11.1381","article-title":"Fentanyl-droperidol supplementation of rapid sequence induction in the presence of severe pregnancy-induced and pregnancy-aggravated hypertension","volume":"59","author":"Lawes","year":"1987","journal-title":"Br J Anaesth"},{"key":"R6-20260528","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1111\/j.1471-0528.1986.tb08013.x","article-title":"Maternal stress response associated with caesarean delivery under general and epidural anaesthesia","volume":"93","author":"Loughran","year":"1986","journal-title":"Br J Obstet Gynaecol"},{"key":"R7-20260528","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1093\/bja\/70.3.311","article-title":"Plasma catecholamines and neonatal condition after induction of anaesthesia with propofol or thiopentone at caesarean section","volume":"70","author":"Gin","year":"1993","journal-title":"Br J Anaesth"},{"key":"R8-20260528","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1097\/00000542-197906000-00010","article-title":"Uterine blood flow and plasma norepinephrine changes during maternal stress in the pregnant ewe","volume":"50","author":"Shnider","year":"1979","journal-title":"Anesthesiology"},{"key":"R9-20260528","doi-asserted-by":"crossref","first-page":"249","DOI":"10.3109\/00016347909154043","article-title":"Effect of induction of general anesthesia for cesarean section on intervillous blood flow","volume":"58","author":"Jouppila","year":"1979","journal-title":"Acta Obstet Gynecol Scand"},{"key":"R10-20260528","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1067\/mob.2000.107928","article-title":"Report of the national high blood pressure education program working group on high blood pressure in pregnancy","volume":"183","year":"2000","journal-title":"Am J Obstet Gynecol"},{"key":"R13-20260528","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0002-9378(16)32330-4","article-title":"Syndrome of hemolysis, elevated liver enzymes, and low platelet count: A severe consequence of hypertension in pregnancy","volume":"142","author":"Weinstein","year":"1982","journal-title":"Am J Obstet Gynecol"},{"key":"R14-20260528","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1016\/j.clp.2004.06.007","article-title":"Imitators of severe pre-eclampsia\/eclampsia","volume":"31","author":"Sibai","year":"2004","journal-title":"Clin Perinatol"},{"key":"R15-20260528","first-page":"391","article-title":"Maternal vascular function in pregnancy","volume":"10","author":"Poston","year":"1996","journal-title":"J Hum Hypertens"},{"key":"R16-20260528","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/0002-9378(90)90836-V","article-title":"Anti-vascular endothelial cell antibodies in severe preeclampsia","volume":"162","author":"Rappaport","year":"1990","journal-title":"Am J Obstet Gynecol"},{"key":"R17-20260528","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/S0002-9378(99)70239-5","article-title":"Preeclampsia: An excessive maternal inflammatory response to pregnancy","volume":"180","author":"Redman","year":"1999","journal-title":"Am J Obstet Gynecol"},{"key":"R18-20260528","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1111\/j.1471-0528.2000.tb13312.x","article-title":"Uteroplacental blood flow and placental vascular endothelial growth factor in normotensive and pre-eclamptic pregnancy","volume":"107","author":"Simmons","year":"2000","journal-title":"BJOG"},{"key":"R19-20260528","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1111\/j.1399-6576.1976.tb05038.x","article-title":"The effect of segmental epidural analgesia on maternal and foetal acid-base balance, lactate, serum potassium and creatine phosphokinase during labour","volume":"20","author":"Jouppila","year":"1976","journal-title":"Acta Anaesthesiol Scand"},{"key":"R20-20260528","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1093\/bja\/aen402","article-title":"Antepartum continuous epidural ropivacaine therapy reduces uterine artery vascular resistance in pre-eclampsia: A randomized, dose-ranging, placebo-controlled study","volume":"102","author":"Ginosar","year":"2009","journal-title":"Br J Anaesth"},{"key":"R21-20260528","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.ijoa.2010.08.004","article-title":"Labour analgesia and the baby: Good news is no news","volume":"20","author":"Reynolds","year":"2011","journal-title":"Int J Obstet Anesth"},{"key":"R22-20260528","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.ajog.2008.06.086","article-title":"Expectant management of severe preeclampsia at less than 27 weeks\u2019 gestation: Maternal and perinatal outcomes according to gestational age by weeks at onset of expectant management","volume":"199","author":"Bombrys","year":"2008","journal-title":"Am J Obstet Gynecol"},{"key":"R23-20260528","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1016\/0002-9378(85)90692-1","article-title":"Anxiety and epinephrine in multiparous women in labor: Relationship to duration of labor and fetal heart rate pattern","volume":"153","author":"Lederman","year":"1985","journal-title":"Am J Obstet Gynecol"},{"key":"R24-20260528","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/0002-9378(83)90076-5","article-title":"Maternal catecholamines decrease during labor after lumbar epidural anesthesia","volume":"147","author":"Shnider","year":"1983","journal-title":"Am J Obstet Gynecol"},{"key":"R25-20260528","doi-asserted-by":"crossref","first-page":"1384","DOI":"10.1097\/00000539-200006000-00023","article-title":"Ambulatory labor epidural analgesia: Bupivacaine versus ropivacaine","volume":"90","author":"Campbell","year":"2000","journal-title":"Anesth Analg"},{"key":"R26-20260528","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1093\/bja\/ael157","article-title":"Intermittent vs continuous administration of epidural ropivacaine with fentanyl for analgesia during labour","volume":"97","author":"Fettes","year":"2006","journal-title":"Br J Anaesth"},{"key":"R27-20260528","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1093\/bja\/82.2.233","article-title":"Comparison of midwife top-ups, continuous infusion and patient-controlled epidural analgesia for maintaining mobility after a low-dose combined spinal-epidural","volume":"82","author":"Collis","year":"1999","journal-title":"Br J Anaesth"},{"key":"R28-20260528","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1016\/S0002-9378(99)70088-8","article-title":"Safety of labor epidural anesthesia for women with severe hypertensive disease. National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network","volume":"181","author":"Hogg","year":"1999","journal-title":"Am J Obstet Gynecol"},{"key":"R30-20260528","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/j.bpobgyn.2009.12.001","article-title":"The ongoing challenges of regional and general anaesthesia in obstetrics","volume":"24","author":"Sia","year":"2010","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"R31-20260528","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/S1521-6896(02)00116-7","article-title":"Spinal anaesthesia for obstetrics","volume":"17","author":"Gogarten","year":"2003","journal-title":"Best Pract Res Clin Anaesthesiol"},{"key":"R32-20260528","doi-asserted-by":"crossref","first-page":"855","DOI":"10.12968\/hosp.2000.61.12.1485","article-title":"Spinal anaesthesia for caesarean section: Current clinical practice","volume":"61","author":"Burns","year":"2000","journal-title":"Hosp Med"},{"key":"R33-20260528","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1093\/bja\/76.5.616","article-title":"Maternal and uteroplacental haemodynamic state in pre-eclamptic patients during spinal anaesthesia for Caesarean section","volume":"76","author":"Karinen","year":"1996","journal-title":"Br J Anaesth"},{"key":"R34-20260528","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1213\/01.ANE.0000073610.23885.F2","article-title":"Patients with severe preeclampsia experience less hypotension during spinal anesthesia for elective cesarean delivery than healthy parturients: A prospective cohort comparison","volume":"97","author":"Aya","year":"2003","journal-title":"Anesth Analg"},{"key":"R35-20260528","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1213\/01.ANE.0000175229.98493.2B","article-title":"Spinal anesthesia-induced hypotension: A risk comparison between patients with severe preeclampsia and healthy women undergoing preterm cesarean delivery","volume":"101","author":"Aya","year":"2005","journal-title":"Anesth Analg"},{"key":"R36-20260528","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1097\/01.anes.0000311153.84687.c7","article-title":"Hemodynamic changes associated with spinal anesthesia for cesarean delivery in severe preeclampsia","volume":"108","author":"Dyer","year":"2008","journal-title":"Anesthesiology"},{"key":"R37-20260528","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.ijoa.2008.09.009","article-title":"Anaesthesia for caesarean section in women with complex cardiac disease: 34 cases using the Braun Spinocath spinal catheter","volume":"18","author":"Dresner","year":"2009","journal-title":"Int J Obstet Anesth"},{"key":"R38-20260528","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1097\/01.anes.0000299429.52105.e5","article-title":"A randomized, double-masked, multicenter comparison of the safety of continuous intrathecal labor analgesia using a 28-gauge catheter versus continuous epidural labor analgesia","volume":"108","author":"Arkoosh","year":"2008","journal-title":"Anesthesiology"},{"key":"R39-20260528","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/01.anes.0000299427.33729.69","article-title":"Continuous spinal analgesia for labor and delivery: A born-again technique?","volume":"108","author":"Drasner","year":"2008","journal-title":"Anesthesiology"},{"key":"R40-20260528","doi-asserted-by":"crossref","first-page":"169","DOI":"10.3109\/10641950902972140","article-title":"Acute pulmonary oedema as a complication of hypertension during pregnancy","volume":"30","author":"Thornton","year":"2011","journal-title":"Hypertens Pregnancy"},{"key":"R41-20260528","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/S0889-8537(05)70024-9","article-title":"The eclamptic patient-Anesthestic management","volume":"16","author":"Weitzner","year":"1998","journal-title":"Anaesthesiol Clin"},{"key":"R42-20260528","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1213\/01.ANE.0000101987.79454.BC","article-title":"Combined spinal-epidural anesthesia using epidural volume extension leads to faster motor recovery after elective cesarean delivery: A prospective, randomized, double-blind study","volume":"98","author":"Lew","year":"2004","journal-title":"Anesth Analg"},{"key":"R43-20260528","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1213\/01.ANE.0000160535.95678.34","article-title":"Spinal versus epidural anesthesia for cesarean delivery in severe preeclampsia: A prospective randomized, multicenter study","volume":"101","author":"Visalyaputra","year":"2005","journal-title":"Anesth Analg"},{"key":"R44-20260528","first-page":"155","article-title":"A randomized trial comparing low-dose combined spinal-epidural anesthesia and conventional epidural anesthesia for cesarean section in severe preeclampsia","volume":"56","author":"Berends","year":"2005","journal-title":"Acta Anaesthesiol Belg"},{"key":"R45-20260528","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.ijoa.2011.12.010","article-title":"Two doses of spinal bupivacaine for caesarean delivery in severe preeclampsia: A pilot study","volume":"21","author":"Jain","year":"2012","journal-title":"Int J Obstet Anesth"},{"key":"R46-20260528","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/AAP.0b013e318233c5f5","article-title":"ED50 of hyperbaric bupivacaine with fentanyl for cesarean delivery under combined spinal epidural in normotensive and preeclamptic patients","volume":"37","author":"Tyagi","year":"2012","journal-title":"Reg Anesth Pain Med"},{"key":"R47-20260528","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1097\/00000542-199905000-00009","article-title":"Spinal versus epidural anesthesia for cesarean section in severely preeclamptic patients: A retrospective survey","volume":"90","author":"Hood","year":"1999","journal-title":"Anesthesiology"},{"key":"R48-20260528","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1097\/00000542-199902000-00009","article-title":"Assessment of changes in coagulation in parturients with preeclampsia using thromboelastography","volume":"90","author":"Sharma","year":"1999","journal-title":"Anesthesiology"},{"key":"R50-20260528","first-page":"385","article-title":"Safe epidural analgesia in thirty parturients with platelet counts between 69,000 and 98,000 mm(-3)","volume":"85","author":"Beilin","year":"1997","journal-title":"Anesth Analg"},{"key":"R51-20260528","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1007\/BF03018594","article-title":"Regional anesthesia in parturients with low platelet counts","volume":"52","author":"Frenk","year":"2005","journal-title":"Can J Anaesth"},{"key":"R52-20260528","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/S0020-7292(01)00390-3","article-title":"Anesthesia in pregnant women with HELLP syndrome","volume":"74","author":"Vigil-De Gracia","year":"2001","journal-title":"Int J Gynaecol Obstet"},{"key":"R53-20260528","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1097\/00000542-200410000-00021","article-title":"Severe neurological complications after central neuraxial blockades in Sweden 1990-1999","volume":"101","author":"Moen","year":"2004","journal-title":"Anesthesiology"},{"key":"R54-20260528","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.revmed.2012.05.011","article-title":"Thrombocytopenia and pregnancy","volume":"33","author":"Khellaf","year":"2012","journal-title":"Rev Med Interne"},{"key":"R55-20260528","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1177\/014107680009300703","article-title":"Urgency of caesarean section: A new classification","volume":"93","author":"Lucas","year":"2000","journal-title":"J R Soc Med"},{"key":"R56-20260528","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1080\/01443610802585546","article-title":"Assessment of a modified four-category classification of urgency of caesarean section","volume":"29","author":"Kinsella","year":"2009","journal-title":"J Obstet Gynaecol"},{"issue":"Suppl 1","key":"R57-20260528","first-page":"1","article-title":"Saving mothers\u2019 lives: Reviewing maternal deaths to make motherhood safer: 2006-2008. The eighth report of the confidential enquiries into maternal deaths in the United Kingdom","volume":"118","author":"Cantwell","year":"2011","journal-title":"BJOG"},{"key":"R58-20260528","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1093\/bja\/aeq266","article-title":"Differential impacts of modes of anaesthesia on the risk of stroke among preeclamptic women who undergo caesarean delivery: A population-based study","volume":"105","author":"Huang","year":"2010","journal-title":"Br J Anaesth"},{"key":"R59-20260528","doi-asserted-by":"crossref","first-page":"15","DOI":"10.4103\/1658-354X.76480","article-title":"A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting","volume":"5","author":"Ajuzieogu","year":"2011","journal-title":"Saudi J Anaesth"},{"key":"R60-20260528","first-page":"166","article-title":"Comparison of neonatal outcome in women with severe pre-eclampsia undergoing caesarean section under spinal or general anaesthesia","volume":"109","author":"Dasgupta","year":"2011","journal-title":"J Indian Med Assoc"},{"key":"R61-20260528","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1213\/01.ane.0000250223.49963.0f","article-title":"The analgesic efficacy of transversus abdominis plane block after abdominal surgery: A prospective randomized controlled trial","volume":"104","author":"McDonnell","year":"2007","journal-title":"Anesth Analg"},{"key":"R63-20260528","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1213\/01.ane.0000290294.64090.f3","article-title":"The analgesic efficacy of transversus abdominis plane block after cesarean delivery: A randomized controlled trial","volume":"106","author":"McDonnell","year":"2008","journal-title":"Anesth Analg"},{"key":"R64-20260528","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1007\/s12630-012-9729-1","article-title":"Transversus abdominis plane block for analgesia after cesarean delivery: A systematic review and meta-analysis","volume":"59","author":"Mishriky","year":"2012","journal-title":"Can J Anaesth"},{"key":"R65-20260528","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1007\/s12630-009-9208-5","article-title":"Ultrasound assessment of the vertebral level of the palpated intercristal (Tuffier's) line","volume":"57","author":"Pysyk","year":"2010","journal-title":"Can J Anaesth"},{"key":"R66-20260528","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1046\/j.1365-2044.2000.01547-4.x","article-title":"Ability of anaesthetists to identify a marked lumbar interspace","volume":"55","author":"Broadbent","year":"2000","journal-title":"Anaesthesia"},{"key":"R67-20260528","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1007\/s12630-010-9432-z","article-title":"The intercristal line determined by palpation is not a reliable anatomical landmark for neuraxial anesthesia","volume":"58","author":"Margarido","year":"2011","journal-title":"Can J Anaesth"},{"key":"R68-20260528","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1097\/ALN.0b013e318210f9f8","article-title":"Ultrasonography of the adult thoracic and lumbar spine for central neuraxial blockade","volume":"114","author":"Chin","year":"2011","journal-title":"Anesthesiology"},{"key":"R69-20260528","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1007\/s12630-010-9397-y","article-title":"Locating the epidural space in obstetric patients-ultrasound a useful tool: Continuing professional development","volume":"57","author":"Balki","year":"2010","journal-title":"Can J Anaesth"},{"key":"R70-20260528","doi-asserted-by":"crossref","first-page":"1876","DOI":"10.1213\/ane.0b013e3181a323f6","article-title":"Ultrasound imaging of the lumbar spine in the transverse plane: The correlation between estimated and actual depth to the epidural space in obese parturients","volume":"108","author":"Balki","year":"2009","journal-title":"Anesth Analg"},{"key":"R71-20260528","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/S0952-8180(01)00378-6","article-title":"Efficacy of ultrasound imaging in obstetric epidural anesthesia","volume":"14","author":"Grau","year":"2002","journal-title":"J Clin Anesth"},{"key":"R72-20260528","first-page":"25","article-title":"Real-time ultrasonic observation of combined spinal-epidural anaesthesia","volume":"21","author":"Grau","year":"2004","journal-title":"Eur J Anaesthesiol"},{"key":"R73-20260528","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1046\/j.1365-2044.1999.00705.x","article-title":"Spinal haematoma following epidural anaesthesia in a patient with eclampsia","volume":"54","author":"Yuen","year":"1999","journal-title":"Anaesthesia"},{"key":"R74-20260528","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1055\/s-2007-998902","article-title":"Epidural regional anesthesia and low molecular heparin: Pro","volume":"28","author":"Tryba","year":"1993","journal-title":"Anasthesiol Intensivmed Notfallmed Schmerzther"},{"key":"R75-20260528","doi-asserted-by":"crossref","first-page":"R129","DOI":"10.1007\/BF03011675","article-title":"Impaired haemostasis and regional anaesthesia","volume":"43","author":"Stafford-Smith","year":"1996","journal-title":"Can J Anaesth"},{"key":"R76-20260528","doi-asserted-by":"crossref","first-page":"587","DOI":"10.3109\/09537104.2010.509828","article-title":"Physiologic and pathologic changes of platelets in pregnancy","volume":"21","author":"Valera","year":"2010","journal-title":"Platelets"},{"key":"R77-20260528","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/0020-7292(94)90301-8","article-title":"Screening for consumptive coagulopathy in preeclampsia","volume":"46","author":"Metz","year":"1994","journal-title":"Int J Gynaecol Obstet"}],"container-title":["Journal of Anaesthesiology Clinical Pharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01607275-201329040-00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:39:32Z","timestamp":1787845172000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0970-9185.119108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10]]},"references-count":70,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.4103\/0970-9185.119108","relation":{},"ISSN":["0970-9185","2231-2730"],"issn-type":[{"value":"0970-9185","type":"print"},{"value":"2231-2730","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10]]}}}