Efficacy of epidural and spinal anesthesia techniques in preeclampsia parturients
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 10
Abstract
Background: Preeclampsia is a hypertensive related complication of pregnancy; Parturients with pregnancy induced hypertension may present to the labor and delivery unit with or without a prior diagnosis of preeclampsia and may pose a significant anesthetic challenge. Administration of anesthesia in such cases leads to worse cardiovascular response. Objectives: To determine the efficacy of epidural and spinal anesthesia techniques in preeclamptic parturients. Materials and methods: A total 60 women with severe preeclampsia who required anti-hypertensive therapy and suitable to either spinal or epidural anesthesia were included and were divided in to epidural and spinal groups with equal number of distribution. Results: There were significant differences in SAP at 1 to 15 min (P < 0.0001) and at 16 to 20 min (P < 0.005) and DAP at 1 to 15 min (P < 0.0001) and at 16 to 20 min (P < 0.01) between the 2 groups. There were no significant differences in SAP and DAP at 22 to 30 min between groups. Conclusion: Spinal anesthesia for cesarean delivery in severely preeclamptic patients causes slightly more hypotension than epidural anesthesia during the induction to delivery period. The duration of hypotension, however, was short and there was no difference in neonatal status.
Authors and Affiliations
Pramod P. Khanapurkar, C. R Murali Govardhan, CH. Sheethal
Keywords
Related Articles
- EP ID EP505046
- DOI -
- Views 148
- Downloads 0
Sero-prevalence of Hepatitis B and C virus among patients attending Dental clinics in Kashmir Valley
Introduction: Hepatitis B and C virus (HBV and HCV) infections are considered an occupational risk for dental professionals and other health care workers. It is a risk that includes the possibility of dental personnel ge...
Primary omental torsion - A rare case report
Primary omental torsion occurs when the mobile thickened segment of the omentum rotates around a proximal fixed point in the absence of any association or secondary intra abdominal pathology and is reported rarely in lit...
Association between ABO and RhD blood group and gestational hypertensive disorders - A retrospective study
Background: Hypertension is the most common problem facing by pregnant women. Nowadays in developing countries one of the major causes for maternal and fetal mortality is gestational hypertension disorders. Even though m...
TCF7L2 gene variant rs7903146 affects the risk of Type 2 Diabetes by modulating incretin secretion
Background: Type2 diabetes mellitus (T2DM) is a highly inheritable disease. Transcription factor 7-like 2 (TCF7L2) gene regulates the expression of glucagon-like peptide 1 (GLP-1) in L cells of small intestine. GLP1 play...
Role of magnesium sulphate in preterm labour
Introduction: Magnesium sulphate has been the drug of choice for the prophylaxis of convulsions in women with preeclampsia for many years. The use of this drug for the treatment of preterm labour originated in the observ...