Objective: This study examined risk factors for perinatal mortality associated with anaesthesia for caesarean delivery in patients with pre-eclampsia/eclampsia. The study is apt because perinatal mortality rate is one of the indicators of health status of pregnant women, new mothers and their newborns. The information obtained may help to assess changes in public health policy and practise amongst women of child-bearing age.
Aim: The role of anaesthesia in perinatal outcome in pre-eclamptics.
Methods And Materials: The hospital records (cases notes, labour ward and newborn special care unit and theatre records) of patients with pre-eclampsia/eclampsia, which had caesarean delivery and their babies at the University of Nigeria Teaching hospital (UNTH), Enugu, Nigeria from July 1998 to June 2006, were retrospectively reviewed. The term perinatal mortality refers to stillbirths and neonatal deaths within 7 days of birth.
Results: There were a total of 6798 deliveries and 1579 women delivered through caesarean section. Of these, 196 were patients with pre-eclampsia/eclampsia. There were a total of 19 stillbirths (9%) and 19 (9%) early neonatal deaths in the pre-eclampsia/eclampsia group going a perinatal mortality of 180/1000 births. Amongst these women, 157 delivered under general anaesthesia, 34 under spinal anaesthesia and five under epidural block. Of the 38 perinatal deaths, 30 delivered by general anaesthesia and eight by regional anaesthesia.
Conclusion: 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.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1080/14767050902994473 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Relationship Between Race, Predelivery Cardiology Care and Cardiovascular Outcomes in Pre-Eclampsia/Eclampsia Among a Commercially Insured Population.
Circ Cardiovasc Qual Outcomes
November 2024
Division of Cardiovascular Medicine, Indiana University, Indianapolis, IN.
Article Synopsis
- The study investigated the link between predelivery cardiology care and major adverse cardiovascular events (MACE) in Black and White patients with Preeclampsia/Eclampsia (PrE/E), using data from 29,336 patients delivered between 2008 and 2019.
- Findings revealed that Black patients experienced a higher cumulative incidence of MACE within a year post-delivery compared to White patients, particularly in the first 14 days.
- Predelivery cardiology care reduced the risk of MACE for White patients shortly after delivery, but did not have a significant impact for Black patients during the same period.
Widefield Swept-Source OCTA Findings in HELLP Syndrome: Choroidal Infarcts.
Retin Cases Brief Rep
May 2024
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA.
Purpose: Pre-eclampsia, eclampsia, and hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome have been previously implicated with ophthalmic complications including serous retinal detachments and disorders of the choroidal vasculature. Herein, we report a case of macular serous detachment associated with HELLP syndrome in which wide field swept-source optical coherence tomography angiography (WF SS-OCTA) was used.
Methods: Retrospective case report of a patient who developed HELLP syndrome.
PARCCS: A Machine Learning Risk-Prediction Model for Acute Peripartum Cardiovascular Complications During Delivery Admissions.
JACC Adv
August 2024
Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Background: Maternal mortality in the United States remains high, with cardiovascular (CV) complications being a leading cause.
Objectives: The purpose of this paper was to develop the PARCCS (Prediction of Acute Risk for Cardiovascular Complications in the Peripartum Period Score) for acute CV complications during delivery.
Methods: Data from the National Inpatient Sample (2016-2020) and International Classification of Diseases, Tenth Revision codes to identify delivery admissions were used.
A study of critically ill obstetric patients admitted to intensive care unit of a tertiary care hospital.
Pak J Med Sci
August 2024
Nayab Khan, FCPS, Department of OBGYN, Medical Teaching Institute, Lady Reading Hospital, Peshawar, Pakistan.
Objectives: To evaluate characteristics, indications, complications and outcome of obstetric patients admitted to ICU of tertiary care hospital in KPK, Pakistan.
Methods: This descriptive study was conducted in department of OBGYN of Lady Reading Hospital, Peshawar from January 2021 till December 2021. A total of 62 patients were enrolled into the study using nonprobability consecutive sampling technique.
Pregnancy complications and birth outcome in patients with osteogenesis imperfecta - A population-based register study.
Bone
October 2024
Department of Endocrinology, Odense University Hospital, 5000 Odense C, Denmark; Department of Clinical Research, University of Southern Denmark, 5000 Odense C, Denmark. Electronic address:
Objective: Patients with Osteogenesis Imperfecta (OI) have varying degrees of bone fragility and increased fracture rates. There is a paucity of data related to complications to pregnancies in patients with OI and to their offspring. With this study we aim to evaluate the risk of complications to pregnancies, delivery, and offspring in pregnancies where the mother or father have OI.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!