Ewha Med J.  2014 Mar;37(1):36-40. 10.12771/emj.2014.37.1.36.

Retrospective Analysis of Anesthesia for Cesarean Section of the Patients with Hypertensive Disorders in Pregnancy for 15 Years

• Lee SY
• Bang EC
• Yang EA
• Lee HS
• Kang YI
• Cho KS
• Kim SY

• KMID: 2171272
• DOI: http://doi.org/10.12771/emj.2014.37.1.36

Abstract

OBJECTIVES
To compare the clnical data of general and regional anesthesia for cesarean section in patients with systemic hypertension.
METHODS
We conducted a retrospective survey with the medical records of the patients with hypertensive disorders in pregnancy, who under went cesarean section from January 1998 to December 2012. We collected data including patients' demographics, anesthesia and maternal and neonatal outcome. According to anesthetic method, the subjects were divided into general anesthesia and regional anesthesia group and the clinical outcome were compared. We reclassified the patients according to the use of magnesium sul fate (MgSO4) and compared the clinical outcomes.
RESULTS
Of the 1,050 hypertensive parturients, 848 (80.8%) patients went through cesarean section. Three hundred and sixty three patients (42.8%) underwent epidural anesthesia, general and spinal anesthesia were used in 268 (31.6%), and 217 (25.6%) patients, respectively. There was no significant difference in maternal and neonatal outcome according to anesthetic method. In the patients administered MgSO4, 1 minute Apgar score was lower and maternal gestational age and birth weight were less than the patients not receiving MgSO4.
CONCLUSION
Anesthetic methods did not have effect on outcome of cesarean section of the patients with hypertensive disorder of pregnancy.

Keyword

Anesthesia, epidural; Anesthesia, general; Anesthesia, spinal; Cesarean section; Hypertension

MeSH Terms

Anesthesia*
Anesthesia, Conduction
Anesthesia, Epidural
Anesthesia, General
Anesthesia, Spinal
Apgar Score
Birth Weight
Cesarean Section*
Demography
Female
Gestational Age
Humans
Hypertension
Magnesium
Medical Records
Pregnancy
Pregnancy*
Retrospective Studies*
Magnesium

Figure

• 

  Fig. 1 Distribution of patients with hypertensive disorder in pregnancy by preoperative systolic blood pressure (SBP).

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  Fig. 2 Distribution of patients with hypertensive disorders in pregnancy by preoperative diastolic blood pressure (DBP).

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  Fig. 3 Annual distribution of the patients by anesthetic method.

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