Korean J Obstet Gynecol.  2007 Jun;50(6):865-871.

Clinical evaluation of anesthesia for cesarean section of the patients with hypertensive disorders in pregnancy

• Kim JH
• Lee HS
• Bang EC
• Jeon HS
• Kim SY

Abstract

OBJECTIVE
The parturient with hypertensive disorders usually has multiple organ alterations, which may affect on the anesthetic care during cesarean delivery. The present study purposed to determine the optimal anesthesia method for the cesarean section of the patients with hypertensive disorders through clinical examination and to support adequate patient management.
METHODS
We conducted a retrospective survey of medical records of the patients with hypertensive disorders of varying severity delivered by cesarean, between January 1999 and December 2003 at Gangnam CHA Hospital. According to anesthesia method, the patients were divided into the general anesthesia group and the epidural anesthesia group, and the clinical outcomes were compared statistically.
RESULTS
Estimated intraoperative blood loss and the frequency of complications such as anemia and pulmonary edema were significantly lower in the epidural anesthesia group. However, there was no major complications with either general or epidural anesthesia
CONCLUSION
Epidural anesthesia is considered allowable as the primary anesthesia method for the caesarean section of the parturient with hypertensive disorders.

Keyword

Hypertensive disorders; General anesthesia; Epidural anesthesia; Cesarean section

MeSH Terms

Anemia
Anesthesia*
Anesthesia, Epidural
Anesthesia, General
Cesarean Section*
Female
Humans
Medical Records
Pregnancy
Pregnancy*
Pulmonary Edema
Retrospective Studies