Analysis of maternal outcome of general versus spinal anaesthesia for caesarean delivery in severe pre-eclampsia

Authors

  • T. Ravi Gandhi Medical College, Secunderabad, India
  • N. Dheeraj Kumar Gandhi Medical College, Secunderabad, India
  • K. Raju Gandhi Medical College, Secunderabad, India

DOI:

https://doi.org/10.21276/apjhs.2016.3.3.17

Keywords:

Pre-eclampsia, Spinal anaesthesia

Abstract

Aim: To study the analysis of maternal outcome of general versus spinal anaesthesia for caesarean delivery in severe pre-eclampsia. Methods and Materials: Sixty parturients with severe pre-eclampsia candidate for caesarean section were randomised into two groups of 30 for either spinal or general anaesthesia. Patients are parturients with the criteria of severe pre-eclampsia Results: Mean age of Group G and Group S was 23.63 and 24.47 years respectively. Mean weight in Group G and Group S was 57.37 and 55.80 kgs. Mean height of Group G and Group S was 160.33 cms and 160.50 cms. Mean Gravida in Group G and Group S was 1.67 and 1.80 respectively. Mean parity in Group G and Group S was 0.63 and 0.80 respectively. Mean gestational age was 33.8 and 33.93 in Group G and Group S respectively. Intraoperative hypotension was 16.6% in GA group and it was 33.3% in SA group. Postoperative hypotension was 6.6% in GA group and it was 13.3% in SA group. Intraoperative hypertension was 73.3% in GA group and it was 6.6% in SA group. Postoperative hypertension was 16.6% in GA group and it was nil in SA group. Tachycardia was 73.3% in group GA and 33.3% in group SA. Bradycardia was 16.6% in GA and 33.3% in SA. Postoperative complications were 50% in GA and 16.6% in SA. Admissions in ICU was 50% in GA and 16.6% in SA. 12 patients from GA group stayed in hospital for 7-15 days and 6 patients stayed in hospital for 4- 10 days. Conclusion: It is therefore concluded that spinal anaesthesia could be considered as first choice for severe preeclamptic patients, which is as safe as general anaesthesia, with less postoperative morbidity and mortality.

Downloads

Download data is not yet available.

Author Biographies

T. Ravi, Gandhi Medical College, Secunderabad, India

Assistant Professor of Anaesthesiology, 

N. Dheeraj Kumar, Gandhi Medical College, Secunderabad, India

Assistant Professor of Anaesthesiology, 

K. Raju, Gandhi Medical College, Secunderabad, India

Assistant Professor of Anaesthesiology, 

Downloads

Published

2016-09-30

How to Cite

T. Ravi, N. Dheeraj Kumar, & K. Raju. (2016). Analysis of maternal outcome of general versus spinal anaesthesia for caesarean delivery in severe pre-eclampsia. Asian Pacific Journal of Health Sciences, 3(3), 101–107. https://doi.org/10.21276/apjhs.2016.3.3.17