Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia
Joint Authors
Das, Ashok
Pahari, Subrata
Chatterjee, S.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-17
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
This prospective observational study compared the effects of general and spinal anesthesia in 173 severe preeclamptic women undergoing emergency cesarean section.
146 (84.5%) patients underwent spinal anesthesia (SA) and 27 (15.5%) patients had general anesthesia (GA).
Most of the patients were primigravid and nulliparous.
Intraoperatively SA group required more intravenous fluid and vasopressor support, while GA group required more preoperative labetalol injection for blood pressure control.
Overall 13.3% of patients required critical care, particularly GA group (44.4% versus 7.5%; P < 0.001 ).
Patients receiving GA had a higher mortality (25.9% versus 1.4%; P < 0.001 ).
The length of hospital stay was comparable.
Significantly more neonates of patients receiving GA were found to be preterm (77.8% versus 44.5%; P < 0.01 ) and required advanced resuscitation.
GA group also had higher neonatal mortality (29.6% versus 11%; P < 0.05 ).
To conclude, severe preeclamptic mothers receiving general anesthesia and their babies required more critical care support.
Maternal as well as neonatal mortality was significantly higher with general anesthesia.
American Psychological Association (APA)
Chatterjee, S.& Das, Ashok& Pahari, Subrata. 2014. Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia. Journal of Pregnancy،Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-1042722
Modern Language Association (MLA)
Chatterjee, S.…[et al.]. Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia. Journal of Pregnancy No. 2014 (2014), pp.1-10.
https://search.emarefa.net/detail/BIM-1042722
American Medical Association (AMA)
Chatterjee, S.& Das, Ashok& Pahari, Subrata. Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia. Journal of Pregnancy. 2014. Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-1042722
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1042722