Published date: Dec 31 2024

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 19 (2024), Issue No. 4

Pages: 473 – 481

DOI: 10.18502/sjms.v19i4.12250

Omer Abdalbagi Mohamed Elawadmulla022@gmail.comDepartment of Anesthesia and Intensive Care, Wad Madani Teaching Hospital, Wad Madani, Sudan

Department of Anesthesia and Intensive Care, Wad Madani Teaching Hospital, Wad Madani, Sudan

Omayma Hassan Elaminmemohassan77@yahoo.comDepartment of Anesthesia and Intensive Care, University of Medical Science and Technology (UMST), Khartoum, Sudan

Areeg Izzeldin Ahmed Yousifmyrawan2005@yahoo.comDepartment of Anesthesia and Intensive Care, Ahmed Gasim Hospital Renal Transplant Center, Khartoum, Sudan

Gamal Abdalla Mohamed Ejaimigamalejaimi@hotmail.comDepartment of Anesthesia and Intensive Care, Taiba Hospital, Kuwait

Background: Preeclampsia poses a high challenge during anesthesia. Both spinal anesthesia (SA) and general anesthesia (GA) are commonly used for the operative management of severe preeclampsia. The study aimed to assess feto-maternal outcomes among severely preeclamptic parturients scheduled for emergency cesarean section (C/S) delivery under GA or SA.
Methods: A total of 80 parturients were enrolled into two equal groups, one group received SA and the other GA. Vital parameters were recorded before starting and during the procedure. The Chi-square test was used for analysis. A P-value of ≤0.05 was considered significant.
Results: Both groups were similar in age, weight, parity, gestational age, and duration of surgery. An intraoperative need for vasopressors was higher in anesthesia (P-value 0.013). Significant intraoperative decreases in blood pressure were observed in SA. The rate of intensive care unit (ICU) admission was higher in GA (11 vs 4 patients, P-value 0.0463).
Conclusion: Assuming no contraindication, SA is the first choice for cesarean section delivery in a severely preeclamptic parturient.

Keywords: anesthesia, cesarean section, pregnancy hypertensive disorders, severe preeclampsia

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