Outcome of caesarean section under spinal versus epidural for women with pre-eclampsia.

ABSTRACT

Background: Pre-eclampsia is a major cause of maternal and perinatal mortality worldwide. Women with pre-eclampsia have an increased rate of cesarean section consequent upon the high incidence of intrauterine growth restriction, fetal distress and prematurity. Objective: To compared the outcome of Cesarean section for pre-eclampsia using sub-arachnoid block and epidural anesthesia Methods: The present retrospective study was carried out in one of the tertiary care hospital of Bareilly district from Jan.2011 to July 2013. Unit of study were all the women with preeclampsia who underwent caesarean section for delivery under spinal or epidural anaesthesia and their babies. chi squire test and student t-test test were applied for statistical analysis. Results: There was no significant difference between two groups in overall maternal mortality (0.0% vs 2.4%, p>0.05), perinatal mortality (5% vs 7.1%, p>0.05), Apgar score less than 7 at 1 minute (25% vs 21%, p,0.05)and Apgar score less than 7 at 5 minute (5% vs 14.3%). Conclusion: no significant difference in the maternal and perinatal mortality outcome of cesarean delivery between women with preeclampsia who had epidural and those that had spinal anaesthesia.