SpinalAnesthesiaandSevereGestationalHypertension,Dr.AlisonMacarthurDepartmentofAnesthesiaUniversityofToronto,Outline,Reviewofpopulation/currentobstetricpracticesMethodsofanesthesiaforcesareandelivery(past/present)Suggestionsforfuturepractice,ClassificationofPIH,IncidenceofComplicatedGestationalHypertension,IncidenceofGH:(U.S.1979-86)26/1000livebirthscontrastthiswithothernations:20.3/1000livebirths(Taiwan1993-97)103/1000livebirths(Turkey1986)Incidenceofseveredisease:5.2/1000livebirths(U.S.1986)7