Comparison Of Maternal And Fetal Outcome Following Caesarean Section In Pre- Eclamptic Patients Under General And Spinal Anesthesia

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dc.contributor.authorVaghasia, Aen_US
dc.contributor.authorModi, Hen_US
dc.contributor.authorTripathi, Den_US
dc.contributor.authorBaraiya, Den_US
dc.contributor.authorYadav, P.en_US
dc.date.accessioned2023-07-14T08:16:25Z
dc.date.available2023-07-14T08:16:25Z
dc.date.issued2022-01
dc.description.abstractBackground:Pre-eclampsia is a multi-system disorder in pregnancy associated with significant maternal morbidity and mortality and also affects neonatal outcome. Choice of anesthesiatechnique and skillful management is equally important for maternal and fetal well-being. So, this study was designed to compare the maternal and fetal outcome following cesarean section in pre-eclamptic patients under general and spinal anesthesia. Material And Methods:This prospective, randomized observational study was carried out in 60 parturients age between 18 to 40 years divided in two groups 30 parturients in each. ASA Physical Status II and III who delivered after 34 weeks of gestation with criteria of mild pre-eclampsia by means of Elective/emergency C-section were included. After giving pre medication Group G received thiopentone, succinylcholine intravenously before intubation followed by oxygen, sevoflurane and atracurium (after delivery of baby). Group S received spinal anesthesia by using 2 ml of 0.5% heavy bupivacaine. Heart rate, blood pressure, SpO2 of mother and neonate were recorded at specific time points. Also post of ICU shifting of mother for maternal outcome and APGAR score at 1,5,7minutes, ABGA, resuscitation requirement and NICU admission data were recorded for fetal outcome.Result:After induction maternal heart rate and blood pressure were higher side (still within 30% from baseline) in group G as compared to group S. APGAR score, ABGA and NICU shifting requirements had favorable outcome in group S. Conclusion:Spinal anesthesia is first choice as it is more safe, simple and with better maternal and fetal outcome.en_US
dc.identifier.affiliationsSenior Residenten_US
dc.identifier.affiliationsAssistant Professor,en_US
dc.identifier.affiliationsProfessoren_US
dc.identifier.affiliations3rd Year Resident,Department Of Anaesthesia, B.J. Medical College & Civil Hospital, Ahmedabaden_US
dc.identifier.affiliationsSenior Resident, Department Of Anaesthesia,ESIC Medical College And Hospital, Alwaren_US
dc.identifier.citationVaghasia A, Modi H, Tripathi D, Baraiya D, Yadav P.. Comparison Of Maternal And Fetal Outcome Following Caesarean Section In Pre- Eclamptic Patients Under General And Spinal Anesthesia . National Journal of Integrated Research in Medicine. 2022 Jan; 12(6): 68-80en_US
dc.identifier.issn0975-9840
dc.identifier.issn2230 - 9969
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219812
dc.languageenen_US
dc.publisherAssociation of Health Professionals and Health Educatorsen_US
dc.relation.issuenumber6en_US
dc.relation.volume12en_US
dc.source.urihttps://nicpd.ac.in/ojs-/index.php/njirm/article/view/3282en_US
dc.subjectPre-Eclampsiaen_US
dc.subjectSpinal Anesthesiaen_US
dc.subjectGeneral Anesthesiaen_US
dc.subjectABGAen_US
dc.subjectAPGAR Scoreen_US
dc.subjectNICUen_US
dc.titleComparison Of Maternal And Fetal Outcome Following Caesarean Section In Pre- Eclamptic Patients Under General And Spinal Anesthesiaen_US
dc.typeJournal Articleen_US
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