Comparative Study of Maternal Outcome Following Caesarian Delivery in Preeclamptic Women Under General and Spinal Anesthesia in Black Lion Specialized Hospital, Addis Ababa
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Date
2017-06
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Addis Abeba University
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.
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Black Lion Specialized Hospital