Abstract | BACKGROUND: METHOD: A prospective cohort study was conducted from 01 February to 28 May 2019 in preeclamptic and non-preeclamptic parturients. We hypothesized preeclamptic parturients are at high risk of spinal anesthesia induced hypotension than non preeclamptics. A total of 122 ASA II and ASA III parturients were recruited consecutively and assigned to two groups (81non-preeclamptics, and 41 preeclamptics). Parturients with cardiac disease, twin pregnancy, chronic hypertension, gestational hypertension, superimposed hypertension, renal disease, diabetes mellitus, coagulopathy (platelet count < 80 × 109/L), active labor, eclampsia, abruptio placentae, placenta praevia, any adjuvant added with local anesthetics were excluded. The data analysis was done using SPSS version 22 statistical software. Student t test, MannWhitney U test and Fisher exact test were used to compare the data. All P values < 0.05 were considered statistically significant. RESULT: The incidence of spinal anesthesia- induced hypotension was higher in non-preeclamptic parturients than preeclamptic parturients (55.6% vs. 34.1%, respectively) and the degree of blood pressure drop was significantly greater in the non-preeclamptic parturients compared to those with preeclampsia; As well intraoperative fluid consumption was significantly greater in the non-preeclamptics parturients compared to those with preeclamptics. CONCLUSION:
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Authors | Tikuneh Yetneberk Alemayehu, Yophetah Woldegerima Berhe, Habtamu Getnet, Mamaru Molallign |
Journal | Patient safety in surgery
(Patient Saf Surg)
Vol. 14
Pg. 9
( 2020)
ISSN: 1754-9493 [Print] England |
PMID | 32266010
(Publication Type: Journal Article)
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Copyright | © The Author(s) 2020. |