Comparison of the hemodynamic changes between preeclamptic and normotensive parturients who underwent cesarean section under spinal anesthesia at North Showa zone public hospitals, Oromia region, Ethiopia, 2022: a prospective cohort study
- Publisher:
- Springer Nature
- Publication Type:
- Journal Article
- Citation:
- BMC Anesthesiology, 2023, 23, (1), pp. 387
- Issue Date:
- 2023-11-25
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BackgroundSpinal anaesthesia complicates maternal hemodynamic and may expose the parturient to dangerous cardiovascular problems Up to 7 to 89 2 of pregnant women can suffer from spinal anaesthesia related hypotension The aim of this study to compare the hemodynamic changes between preeclamptic and normotensive parturients who underwent caesarean section under spinal anaesthesia at North Showa Zone Public Hospitals Oromia Region from February 15 to May 15 2022 MethodsA prospective cohort study was conducted on a total of 140 parturients 70 in each group who underwent cesarean delivery under spinal anesthesia The study participants were chosen using a consecutive sampling technique Data were collected from patient charts and intraoperative observations and entered into the Epi Data software version 4 6 and exported to the Statistical Package for the Social Sciences version 25 software Hemodynamic change baseline value current value baseline value 100 The independent t test Mann Whitney U test two ways mixed ANOVA chi square and Fisher s exact test was used to analyze the data as appropriate A P 0 05 was statistically significant ResultsThe mean percentage change in SBP DBP and MAP after spinal anaesthesia was a statistically significant difference between the normotensive and preeclamptic groups except MAP at 15 min was comparable between the two groups with p 0 638 The proportion of preeclamptic parturients who develop hypotension was 47 compared to 74 of normotensive parturients and the RR of developing hypotension if participants were preeclamptic was 0 63 with a 95 confidence interval of 0 412 to 0 978 and a p 0 039 The mean change in heart rate during the first 15 min was comparable between the groups ConclusionIn contrast to normotensive parturients undergoing caesarean section under spinal anaesthesia our study found that the hemodynamic change was lower in preeclamptic parturients The proportion of preeclamptic women who develop hypotension was 47 compared to
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