Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia
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 pri...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2014/325098 |
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| author | Suman Chattopadhyay Ashok Das Subrata Pahari |
| author_facet | Suman Chattopadhyay Ashok Das Subrata Pahari |
| author_sort | Suman Chattopadhyay |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-77b028b17bd34b9693799e6a5d960cfc |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-77b028b17bd34b9693799e6a5d960cfc2025-02-03T01:21:58ZengWileyJournal of Pregnancy2090-27272090-27352014-01-01201410.1155/2014/325098325098Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal AnesthesiaSuman Chattopadhyay0Ashok Das1Subrata Pahari2Department of Anaesthesiology, Medical College & Hospital, 88 College Street, Kolkata 700073, IndiaDepartment of Anaesthesiology, Medical College & Hospital, 88 College Street, Kolkata 700073, IndiaDepartment of Anaesthesiology, Medical College & Hospital, 88 College Street, Kolkata 700073, IndiaThis 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.http://dx.doi.org/10.1155/2014/325098 |
| spellingShingle | Suman Chattopadhyay Ashok Das Subrata Pahari Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia Journal of Pregnancy |
| title | Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia |
| title_full | Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia |
| title_fullStr | Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia |
| title_full_unstemmed | Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia |
| title_short | Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia |
| title_sort | fetomaternal outcome in severe preeclamptic women undergoing emergency cesarean section under either general or spinal anesthesia |
| url | http://dx.doi.org/10.1155/2014/325098 |
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