Analysis of maternal outcome of general versus spinal anaesthesia for caesarean delivery in severe pre-eclampsia

Abstract

Aim: To study the analysis of maternal outcome of general versus spinal anaesthesia for caesarean delivery in severe pre-eclampsia. Methods and Materials: Sixty parturients with severe pre-eclampsia candidate for caesarean section were randomised into two groups of 30 for either spinal or general anaesthesia. Patients are parturients with the criteria of severe pre-eclampsia Results: Mean age of Group G and Group S was 23.63 and 24.47 years respectively. Mean weight in Group G and Group S was 57.37 and 55.80 kgs. Mean height of Group G and Group S was 160.33 cms and 160.50 cms. Mean Gravida in Group G and Group S was 1.67 and 1.80 respectively. Mean parity in Group G and Group S was 0.63 and 0.80 respectively. Mean gestational age was 33.8 and 33.93 in Group G and Group S respectively. Intraoperative hypotension was 16.6% in GA group and it was 33.3% in SA group. Postoperative hypotension was 6.6% in GA group and it was 13.3% in SA group. Intraoperative hypertension was 73.3% in GA group and it was 6.6% in SA group. Postoperative hypertension was 16.6% in GA group and it was nil in SA group. Tachycardia was 73.3% in group GA and 33.3% in group SA. Bradycardia was 16.6% in GA and 33.3% in SA. Postoperative complications were 50% in GA and 16.6% in SA. Admissions in ICU was 50% in GA and 16.6% in SA. 12 patients from GA group stayed in hospital for 7-15 days and 6 patients stayed in hospital for 4- 10 days. Conclusion: It is therefore concluded that spinal anaesthesia could be considered as first choice for severe preeclamptic patients, which is as safe as general anaesthesia, with less postoperative morbidity and mortality.