Date of Award


Document Type

Graduate Project

Degree Name

Master of Science (MS)


Preeclampsia, a hypertensive disorder of pregnancy, is a complication that increases maternal and fetal risk and complicates the selection of regional analgesia and anesthesia. Certified registered nurse anesthetists (CRNAs) work as part of a collaborative team properly managing analgesia and anesthesia in women with preeclampsia during labor and delivery. The purpose of the project is to identify the degree of hemodynamic stability associated with two commonly used regional anesthesia techniques, spinal or epidural, in patients with preeclampsia. The goal was to identify current evidence supporting best practice in analgesic and anesthetic management of patients with preeclampsia

A comprehensive review of literature provided information about the pathophysiology of preeclampsia, advantages and disadvantages of spinal and epidural anesthesia and analgesia techniques, and interventions necessary to promote patient safety, satisfaction, and overall well-being during anesthetic management of preeclamptic patients during labor and delivery. Evidence was synthesized to provide the basis for educating anesthesia providers about best practices of spinal and epidural analgesia and anesthesia in patients with preeclampsia. Current evidence strongly supports the use of regional analgesia and anesthesia as a means of pain relief throughout labor and delivery. Evidence-based practice establishes the necessary knowledge to provide adequate obstetric analgesia and anesthesia without compromising the maternal and neonatal outcome and is essential to the quality of anesthetic care being delivered