title: Elective forceps delivery and extradural anaesthesia in a primigravida with portal hypertension and oesophageal varices.
abstract: The use of extradural analgesia to avoid straining in a primigravida with portal hypertension and secondary oesophageal varices is described, together with a discussion of the advantages and disadvantages of this approach.
authors.affiliation: St Helier's Hospital, Carshalton, Surrey.
authors.forename: J A
authors.initials: JA
authors.lastname: Heriot
authors.forename: C M
authors.initials: CM
authors.lastname: Steven
authors.forename: R S
authors.initials: RS
authors.lastname: Sattin
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000209:etiology; D005113:Extraction, Obstetrical; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D009772:Obstetrical Forceps; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular