Comparison of the Hemodynamic Changes in Normotensive and Severe Preeclamptic Pregnant Woman Posted for Cesarean Section under Subarachnoid Block
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
Background: Anaesthetic approach to caesarean section in severely pre-eclamptic patients has considerably changed during the last few decades. Spinal anesthesia is widely regarded as a reasonable anesthetic option for cesarean delivery in severe preeclampsia, provided there is no indwelling epidural catheter or contraindication to neuraxial anesthesia. The aim of this study was to compare the haemodynamics between normal healthy parturients and patients with severe pre-eclampsia undergoing LSCS under spinal anaesthesia. Materials and Methods: Spinal anesthesia was performed in two groups of parturients (31 in each group) with singleton pregnancy posted for elective LSCS. Heart rate and blood pressure were recorded before spinal anesthesia and thereafter at 3 minute intervals upto 60 minutes. Hypotension was defined as MAP <30% of the baseline or a decrease in SBP to < 100 mm Hg over the same time interval and was treated with 50 mcg phenylephrine i.v. Results: The incidence rate of hypotension among the preeclamptic patients was lower than that of the healthy parturients (P <0.05). The total doses of IV Phenylephrine for treating hypotension were significantly lower among the preeclamptic patients (72 mcg in preeclamptic patients versus 188 mcg in normotensive patients) (P <0.05). There was no statistical difference in the neonatal outcome and APGAR score in the study groups. Conclusion: Spinal anaesthesia in preeclampsia patients is associated with better perioperative hemodynamic stability, less hypotension and less vasopressor consumption.
Authors and Affiliations
Dr Arbind Kr Ray
Keywords
Related Articles
- EP ID EP518038
- DOI -
- Views 73
- Downloads 0
Serum Profile of Selected Oxidants and Antioxidants in Patients of Rheumatoid Arthritis
The level of selected markers of oxidative stress (protein carbonyls, nitrite, malondialdehyde) and antioxidants (ceruloplasmin and ascorbic acid) were measured in the serum of 40 patients with rheumatoid arthritis. 20 h...
A Study on the Trend of Caesarean Section in Regional Institute of Medical Sciences in Imphal
Objective: To determine the trend, indications and maternal and foetal outcome of Caesarean section in RIMS, Imphal. Methods: A prospective cross-sectional study was conducted among 500 patients who underwent Caesarean d...
A cross sectional study to find out the awareness and use of E-learning methods among medical students of a cosmopolitan city of central India
Background: E -learning is defined as acquisition of knowledge and skill using electronic technologies such as computer and Internet based courseware and local and wide area networks. E-learning encompasses a pedagogical...
The Effect of Red Ginger Extract on Reduced Hormone Levels of Prostaglandin and Menstrual Pain Score in Adolescents with Dysmenorrhea
Background: Dysmenorrhea (pain during menstruation) causes adolescents to experience restrictions on daily activities such as decreased learning concentration and increased absenteeism. One way to handle dysmenorrhea is...
ADAM Questionnaire; Is it a Predictor of Androgen Deficiency in Type 2 Diabetes Mellitus Male Patients?
Background: Diabetes Mellitus is a growing epidemic in the world. It accelerates the aging process and has been proven to reduce Androgen levels in males earlier, through various mechanisms. This study is done to analyse...