Anaesthetic management of patients with pre-eclampsia/eclampsia and perinatal outcome

Abstract

Pre-eclampsia/eclampsia continues to be a cause of foetal loss in the developing world even where essential obstetric services are available. Early onset management of severe pre-eclampsia with maintenance of adequate placental perfusion during anaesthesia may result in lower perinatal deaths.

Spinal anesthesia for lower segment Cesarean section in patients with stable eclampsia

“…From the studies conducted by various authors, there is now conclusive evidence that Apgar scores at 1 and 5 minutes and the neonatal outcome is better in pre-eclamptic women receiving regional anesthesia as compared to general anesthesia [11,22,39,40]. In our series, a median Apgar score of 8 at 1 minute and 9 at 5 minutes was recorded.…”

Neighbourhood characteristics and under-five mortality in Nigeria

“…; (Ekenze et al, 2009;Ifesanya et al, 2009;Melliez et al, 2007;Okafor et al, 2009;Okoro et al, 2009). Many other studies that are not hospital-based, but population-based failed to consider the influence of contextual situation where children are raised on their survival chances.…”

The Effects of Anesthetic Techniques on Mother and Newborn for Cesarean Inparturients with Preeclampsia: Retrospective Study

“…Aynı araştırmacılar yine Nijerya'da yapmış oldukları sekiz yıllık süreyi kapsayan retrospektif çalışmalarında, 196 preeklamptik/eklamptik gebede anestezi yönetiminin perinatal etkilerini araştırmış ve 157 hastaya genel anestezi, 34 hastaya spinal anestezi, beş hastaya da epidural anestezi uygulandığınısaptamışlardır. 26 Çalışmanın sonucunda 38 perinatal ölümün 30'unda genel anestezi, sekizinde rejyonal anestezi kullanıldığı ve rejyonal anestezinin daha iyi perinatal etkiye neden olduğu kanısına varmışlardır.…”