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ISSN 1681-715X |
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Volume 26 |
October - December 2010 |
Number 4 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 26 |
October - December 2010 |
Number 4 |
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Comparison of the effects of spinal anesthesia
between pre-eclamptic patients and normal
pregnant women during cesarean sectionS Masoumeh Hosseini Valami1, S Abbas Hosseini Jahromi2
Jafar Shirazi3, Navid Mohammadi4ABSTRACT
Objective: To compare the effects of spinal anesthesia between pre-eclamptic patients and normal pregnant women during cesarean section.
Methodology: The participants of this hospital-based cohort study consisted of 60 women. Their age range was between 18-40. Thirty patients were pre-eclamptic and the others were normal pregnant women. Spinal anesthesia was administered with 2ml lidocaine 5%. Hemodynamic changes, dose of ephedrine requirement, incidence of nausea and Apgar score were compared between two groups. Data were transformed to the SPSS software. Then Chi-square, T-student and Fischer exact tests were performed for statistical analysis.
Results: There was no significant statistical difference of age and weight between two groups. In regard to basic, post spinal and post ephedrine systolic and diastolic blood pressure, significant statistical differences were noted. Similarly as regards the number of patients who developed hypotension and the dose of ephedrine injection, there were meaningful statistical differences between two groups.
Conclusions: Development of hypotension and dosage of ephedrine injection in pre-eclamptic patients were less than healthy pregnant women during cesarean section under spinal anesthesia. As such spinal anesthesia is a safe method for cesarean section in pre-eclamptic patients.
KEY WORDS:
Pre-eclampsia, Cesarean Section, Spinal Anesthesia.Pak J Med Sci October - December 2010 Vol. 26 No. 4 809-813
How to cite this article:
Valami SMH, Jahromi SAH, Shirazi J, Mohammadi N. Comparison of the effects of spinal anesthesia between pre-eclamptic patients and normal pregnant women during cesarean section. Pak J Med Sci 2010;26(4): 809-813
1. S Masoumeh Hosseini Valami,
Assistant Professor
2. S Abbas Hosseini Jahromi,
Assistant Professor
3. Jafar Shirazi,
Anesthetist, Rafsanjan University of Medical Sciences, Iran
4. Navid Mohammadi,
Assistant Professor in Community Medicine,
Faculty of Medicine, Iran University of Medical Sciences
1-2: Department of Anesthesiology,
Qazvin University of Medical Sciences, Iran.
Correspondence:
S Abbas Hosseini Jahromi,
Department of Anesthesiology,
Rajaee Hospital, Qazvin, Iran
E-mail: papaya812002@yahoo.com
* Received for Publication: April 13, 2010
* Revision Received: July 28, 2010
* Revision Accepted: August 13, 2010
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