Maternal &fetal outcome of spinal v/s general anaesthesia in pre eclampsia cases undergoing caesarean section – An eyeopener !
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Introduction: Women with pre-eclampsia have an increased rate of cesarean section consequent upon the high incidence of intrauterine growth restriction, fetal distress and prematurity. Cesarean section on the other hand increases the risk of cardiopulmonary morbidity associated with pre-eclampsia. This is due to the altered hemodynamics in women with pre-eclampsia. This risk is present with both spinal and general anesthesia. This underscores the need for studies to compare the outcome of Cesarean section using sub-arachnoid block and general anesthesia as this will help physicians practicing in developing countries in decision-making. Objective: To compare the outcome of spinal anesthesia and general anesthesia in Cesarean delivery for women with severe pre-eclampsia. Methods: A retrospective study of women with severe pre-eclampsia requiring Cesarean section from January 2018 to June 2018 was carried out. A total of48 patients were enrolled in the study. Maternal age, parity, gestational age at delivery, booking status, Apgar scores, maternal and perinatal mortality of the sub-arachnoid block group were compared with those of general anesthesia group using Student t-test. Results: There were no significant difference between the two groups in overall maternal mortality (5% vs. 7%, P=0.5) and perinatal mortality (2.7% vs. 11.9%, P=0.15). The general anesthesia group had significantly more birth asphyxia than the spinal group (56% vs. 27%, P=0.0006). Conclusion: There was statistically significant difference in the perinatal mortality outcome of cesarean delivery between women with severe pre-eclampsia who had regional anesthesia and those that had general anesthesia. Mean maternal age was statistically significant. There was significantly higher proportion of birth asphyxiain babies of women who received general anesthesia.P value<0.05 with respect to post operative convulsions & acute renal failure which is statistically significant.
Authors and Affiliations
Dr. Surendra, Dr. Santosh Khajotia
Keywords
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- EP ID EP401933
- DOI 10.9790/0853-1710066166.
- Views 98
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