Impact of anesthetic methods on neonatal outcome in women receiving temporary balloon occlusion of the common iliac artery during cesarean section for placenta accreta
Objective: Placenta accreta is associated with significant maternal morbidity and is the leading indication for peripartum hysterectomy. In our institution, occlusion balloon catheters are commonly placed in bilateral common iliac arteries in order to reduce blood loss and facilitate surgery in pati...
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| Format: | Article |
| Language: | English |
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Elsevier
2011-12-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S102845591100180X |
| _version_ | 1811324564382154752 |
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| author | Jheng-Yan Lan Mao-Hsien Wang Shou-Zen Fan Li-Kuei Chen |
| author_facet | Jheng-Yan Lan Mao-Hsien Wang Shou-Zen Fan Li-Kuei Chen |
| author_sort | Jheng-Yan Lan |
| collection | DOAJ |
| description | Objective: Placenta accreta is associated with significant maternal morbidity and is the leading indication for peripartum hysterectomy. In our institution, occlusion balloon catheters are commonly placed in bilateral common iliac arteries in order to reduce blood loss and facilitate surgery in patients with this obstetric complication. Few studies, however, have evaluated the effect of different anesthetic methods for cesarean hysterectomy on neonatal outcome. In this study, we compared Apgar scores among neonates born to mothers under general anesthesia with those who received regional anesthesia.
Case Reports: A retrospective analysis of 19 women with placenta accreta/percreta who underwent cesarean hysterectomy in our hospital, revealed that the 1-minute Apgar score was <7 in 4/12 neonates born to women who underwent general anesthesia and in 1/7 neonates born to mothers who received regional anesthesia. The 5-minute Apgar score was >7 after immediate resuscitation in all neonates. There were no significant differences in demographic data, induction-to-delivery period, or Apgar scores between the general and the regional anesthesia groups.
Conclusion: We acknowledge that the retrospective nature of this study makes it difficult to conclude whether the different anesthesia management strategies had an impact on Apgar score; however, according to our clinical observation, regional anesthesia may be a better alternative in the induction-to-delivery period, especially for women with accreta/percreta and in situations in which poor neonatal outcome is expected. |
| first_indexed | 2024-04-13T14:16:31Z |
| format | Article |
| id | doaj.art-a7392b391a3141f181d89d33bb38397e |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-13T14:16:31Z |
| publishDate | 2011-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-a7392b391a3141f181d89d33bb38397e2022-12-22T02:43:37ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592011-12-0150451551710.1016/j.tjog.2011.10.021Impact of anesthetic methods on neonatal outcome in women receiving temporary balloon occlusion of the common iliac artery during cesarean section for placenta accretaJheng-Yan Lan0Mao-Hsien Wang1Shou-Zen Fan2Li-Kuei Chen3Department of Anesthesiology, National Taiwan University Hospital Yun-Lin Branch, Taipei, TaiwanDepartment of Anesthesiology, En-Chu-Kon Hospital, Taipei, TaiwanDepartment of Anesthesiology, National Taiwan University Hospital, Taipei, TaiwanDepartment of Anesthesiology, National Taiwan University Hospital, Taipei, TaiwanObjective: Placenta accreta is associated with significant maternal morbidity and is the leading indication for peripartum hysterectomy. In our institution, occlusion balloon catheters are commonly placed in bilateral common iliac arteries in order to reduce blood loss and facilitate surgery in patients with this obstetric complication. Few studies, however, have evaluated the effect of different anesthetic methods for cesarean hysterectomy on neonatal outcome. In this study, we compared Apgar scores among neonates born to mothers under general anesthesia with those who received regional anesthesia. Case Reports: A retrospective analysis of 19 women with placenta accreta/percreta who underwent cesarean hysterectomy in our hospital, revealed that the 1-minute Apgar score was <7 in 4/12 neonates born to women who underwent general anesthesia and in 1/7 neonates born to mothers who received regional anesthesia. The 5-minute Apgar score was >7 after immediate resuscitation in all neonates. There were no significant differences in demographic data, induction-to-delivery period, or Apgar scores between the general and the regional anesthesia groups. Conclusion: We acknowledge that the retrospective nature of this study makes it difficult to conclude whether the different anesthesia management strategies had an impact on Apgar score; however, according to our clinical observation, regional anesthesia may be a better alternative in the induction-to-delivery period, especially for women with accreta/percreta and in situations in which poor neonatal outcome is expected.http://www.sciencedirect.com/science/article/pii/S102845591100180XAnesthesiaApgar scoreBalloon cathetersCommon iliac arteryPlacenta accreta/percreta |
| spellingShingle | Jheng-Yan Lan Mao-Hsien Wang Shou-Zen Fan Li-Kuei Chen Impact of anesthetic methods on neonatal outcome in women receiving temporary balloon occlusion of the common iliac artery during cesarean section for placenta accreta Taiwanese Journal of Obstetrics & Gynecology Anesthesia Apgar score Balloon catheters Common iliac artery Placenta accreta/percreta |
| title | Impact of anesthetic methods on neonatal outcome in women receiving temporary balloon occlusion of the common iliac artery during cesarean section for placenta accreta |
| title_full | Impact of anesthetic methods on neonatal outcome in women receiving temporary balloon occlusion of the common iliac artery during cesarean section for placenta accreta |
| title_fullStr | Impact of anesthetic methods on neonatal outcome in women receiving temporary balloon occlusion of the common iliac artery during cesarean section for placenta accreta |
| title_full_unstemmed | Impact of anesthetic methods on neonatal outcome in women receiving temporary balloon occlusion of the common iliac artery during cesarean section for placenta accreta |
| title_short | Impact of anesthetic methods on neonatal outcome in women receiving temporary balloon occlusion of the common iliac artery during cesarean section for placenta accreta |
| title_sort | impact of anesthetic methods on neonatal outcome in women receiving temporary balloon occlusion of the common iliac artery during cesarean section for placenta accreta |
| topic | Anesthesia Apgar score Balloon catheters Common iliac artery Placenta accreta/percreta |
| url | http://www.sciencedirect.com/science/article/pii/S102845591100180X |
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