A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting

Objective: To compare the outcome of subarachnoid block (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 2005 to June 2009 was carried out. Ma...

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Main Authors: Obinna V Ajuzieogu, Humphrey Azubuike Ezike, Adaobi Obianuju Amucheazi, Jamike Enwereji
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=1;spage=15;epage=18;aulast=Ajuzieogu
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author Obinna V Ajuzieogu
Humphrey Azubuike Ezike
Adaobi Obianuju Amucheazi
Jamike Enwereji
author_facet Obinna V Ajuzieogu
Humphrey Azubuike Ezike
Adaobi Obianuju Amucheazi
Jamike Enwereji
author_sort Obinna V Ajuzieogu
collection DOAJ
description Objective: To compare the outcome of subarachnoid block (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 2005 to June 2009 was carried out. 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 c2 , Student t-test and Fischer exact test. Results: There were no significant difference between the two groups in overall maternal mortality (5.4% vs. 11.9%, 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 (55.9% vs. 27.0%, P=0.0006). Conclusion: There was no significant difference in the maternal and perinatal mortality outcome of cesarean delivery between women with severe pre-eclampsia who had regional anesthesia and those that had general anesthesia. There was significantly higher proportion of birth asphyxia in babies of women who received general anesthesia.
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spelling doaj.art-5870bd27e8fd428f89c15c021ecc69eb2022-12-22T03:40:10ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2011-01-0151151810.4103/1658-354X.76480A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world settingObinna V AjuzieoguHumphrey Azubuike EzikeAdaobi Obianuju AmucheaziJamike EnwerejiObjective: To compare the outcome of subarachnoid block (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 2005 to June 2009 was carried out. 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 c2 , Student t-test and Fischer exact test. Results: There were no significant difference between the two groups in overall maternal mortality (5.4% vs. 11.9%, 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 (55.9% vs. 27.0%, P=0.0006). Conclusion: There was no significant difference in the maternal and perinatal mortality outcome of cesarean delivery between women with severe pre-eclampsia who had regional anesthesia and those that had general anesthesia. There was significantly higher proportion of birth asphyxia in babies of women who received general anesthesia.http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=1;spage=15;epage=18;aulast=AjuzieoguCesarean sectiondeveloping countrygeneral anesthesiamaternal/perinatal mortalitysevere pre-eclampsiaspinal anesthesia
spellingShingle Obinna V 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 Journal of Anaesthesia
Cesarean section
developing country
general anesthesia
maternal/perinatal mortality
severe pre-eclampsia
spinal anesthesia
title A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting
title_full A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting
title_fullStr A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting
title_full_unstemmed A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting
title_short A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting
title_sort retrospective study of the outcome of cesarean section for women with severe pre eclampsia in a third world setting
topic Cesarean section
developing country
general anesthesia
maternal/perinatal mortality
severe pre-eclampsia
spinal anesthesia
url http://www.saudija.org/article.asp?issn=1658-354X;year=2011;volume=5;issue=1;spage=15;epage=18;aulast=Ajuzieogu
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