Outcome Of Caesarean Section Under Spinal Versus Epidural For Women With Pre-Eclampsia
Outcome Of Cesarean Section Under Spinal Versus Epidural
DOI:
https://doi.org/10.70284/njirm.v5i3.739Keywords:
Cesarean section, spinal anaesthesia, epidural anaesthesia, pre-eclampsia, maternal/ perinatal mortalityAbstract
Background: Pre-eclampsia is a major cause of maternal and perinatal mortality worldwide. Women with pre-eclampsia have an increased rate of cesarean section consequent upon the high incidence of intrauterine growth restriction, fetal distress and prematurity. Objective: To compared the outcome of Cesarean section for pre-eclampsia using sub-arachnoid block and epidural anesthesia Methods: The present retrospective study was carried out in one of the tertiary care hospital of Bareilly district from Jan.2011 to July 2013. Unit of study were all the women with preeclampsia who underwent caesarean section for delivery under spinal or epidural anaesthesia and their babies. chi squire test and student t-test test were applied for statistical analysis. Results: There was no significant difference between two groups in overall maternal mortality (0.0% vs 2.4%, p>0.05), perinatal mortality (5% vs 7.1%, p>0.05), Apgar score less than 7 at 1 minute (25% vs 21%, p,0.05)and Apgar score less than 7 at 5 minute (5% vs 14.3%). Conclusion: no significant difference in the maternal and perinatal mortality outcome of cesarean delivery between women with preeclampsia who had epidural and those that had spinal anaesthesia. [ Kumar R NJIRM 2014; 5(3) :88-91]
References
f women with gestational hypertension. Am J Obstet Gynecol. 2001;185:798–803.
3. Terrone DA, Isler CM, May WL, Magann EF, Norman PF, Martin JN Cardiopulmonary morbidity as a complication of severe preeclampsia HELLP syndrome. J Perinatol.2000 Mar; 20(2):78-81.
4. Tihtonen K, Koobi T, Yli-Hankala A, Huhtala H, Uotila J. Maternal hemodynamics in pre-eclampsia compared with normal pregnancy during caesarean delivery. Brit J Obstet Gynaecol. 2006;113:657–63.
5. Newsome LR, Bramwell RS, Curling PE. Severe preeclampsia: haemodynamic effects of lumber epidural anaesthesia. Anesth Analg 1986; 65: 31-6.
6. Hypertensive disorder in pregnancy. In: Cunningham FG, Gant NF, Leveno KJ, eds.Williams obstetrics, 21st ed. New York: McGraw-Hill, 2001: 607-8.
7. Hart E, Coley S. The diagnosis and management of pre-eclampsia. BJA CEPD Rev. 2003;3:38–42.
8. Riley ET, Cohen SE, Macario A et al. Spinal versus epidural anaesthesia for caesarean section: a comparision of time efficiency, costs, charges and complications. Anesth Analg 1995; 80 709-12.
9. Visalyaputra S, Rodanant O, Somboonviboon W, Tantivitayatan K, Thienthong S, Saegchote W. Spinal versus epidural anaesthesia for caesarean section in severe pre-eclampsia: a prospective randomised multicentre study. Anesth Analg. 2005;101:862–8.
10. Manvor M, Ng KP, Chan YK. Retrospective review of spinal versus epidural anaesthesia for caesarean section pre-eclamptic patients. Int J Obstet Anesth.2003;12:23–7.
11. Stamer UM, Stuber F. Spinal and epidural anaesthesia for caesarean section in patients with pre-eclampsia. Anesthesiol Intensivmed Notfallmed Schmerzther.2007;42:200–7.
12. Karaman S, Akercan F, Terek MC. Epidural versus spinal anesthesia for caesarean section in pre-eclampsia patients. Int J Gynecol Obstet. 2005; 90:68–9.
13. Dutta DC. Text book of obstetrics, New central book agency (P)Ltd, Kolkata, India, 7th edition, 2011; p219. 14. ObinnaV. Ajuzieogu, Humphrey Azubuike Ezike, Adaobi Obianuju Amucheazi, Jamike Enwereji. A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting. Saudi J Anaesth. 2011 ; 5: 15–18.
15. Chiu CL, Mansor M, Ng KP, Chan YK. Retrospective review of spinal versus epidural anaesthesia for cesarean section in preeclamptic patients. Int J Obstet Anesth 2003; 12:23-7.
