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Title: Comparative study of maternal outcome following caesarian delivery in preeclamptic women under general and spinal anesthesia in black lion specialized hospital, Addis Ababa
???metadata.dc.contributor.*???: Mr. Adugna Aaregawi (msc)
Tsehay Terefe
Keywords: Caesarian Section in Obstetrics and gynecology
Issue Date: Jun-2017
Publisher: AAU 2017
Abstract: INTRODUCTION: Opinions are controversial regarding the use of General and spinal anesthesia in preeclamptic or eclamptic patients undergoing caesarean section. Several studies recommended avoiding Spinal anesthesia in preeclamptic patients because of concern for sudden severe hypotension. However, other studies also support the use of spinal anesthesia as first choice reasoning less post-operative morbidity and mortality. OBJECTIVE: To determine and compare maternal outcome among preeclamptic women after caesarian delivery under general and spinal anesthesia in Black lion Specialized Hospital, Addis Ababa, Ethiopia. METHODS: Hospital based retrospective comparative cross sectional study was used to compare maternal outcome. All preeclamptic mothers that underwent Caesarian Section in Obstetrics and gynecology ward, Black Lion Referral Specialized Hospital from October 2014 to October 2016was included in the study. Data collection was carried out by using structured questionnaire. Data entry and cleaning was done on SPSS version 20. Result is explained using frequency tables, graphs and descriptive summaries. Independent sample T-test was conducted to compare the outcome in both groups of spinal and general anesthesia, 95% confidence interval (CI) and p value < 0.05 is set as cut off point for statistical significance. RESULT: A total of 170 patients’ document was reviewed depending on the eligibility criteria and availability of the documents. The mean age of study subjects were 28.18 years and SD= ± 4.66 years, the median age is 28 years (IQR: 25-30). Present finding shows that both general and spinal anesthesia has no difference in terms of maternal survival status, days of hospital stay, post-operative admission to ICU, and post-operative complications. But this study found statistically significant higher post operative blood pressure and pulse rate among GA group when compared with SA group. Conclusion፡ In conclusion SA is safer than GA in terms of stable vital signs among preeclamptic women.
Description: A thesis submitted to school of graduate studies of addis ababa university, in partial fulfillment of the requirements for the degree of masters in anesthesia June, 2017
Appears in Collections:Thesis - Anesthesia

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