Clinical evaluation of anesthesia for cesarean section at tertiary medical center: retrospective study for 5 years (2009-2013)
Anesthesia and Pain Medicine
; : 49-54, 2016.
Article
de En
| WPRIM
| ID: wpr-32722
Bibliothèque responsable:
WPRO
ABSTRACT
BACKGROUND: Cesarean section anesthesia requires adequate preparation because of maternal physiologic changes, a higher risk for massive maternal bleeding, neonatal considerations, and a higher frequency of emergency operations. Therefore, we retrospectively compared clinical outcomes of cesarean section patients between a high-risk group and non-high-risk group in order to improve anesthesia care. METHODS: We reviewed medical records from cesarean section cases at our tertiary medical center for 5 years (2009-2013). Parameters included the anesthesia and operative time; estimated blood loss, fluid volume and blood products administered during surgery, additional administration of maternal uterotonic medications; as well as the birth weight, Apgar scores, number of neonatal intensive care unit (NICU) admissions, and stillbirth rates of the neonate. RESULTS: The total number of delivery cases was 1935 during the 5 years, and the cesarean section cases accounted for 58.8% (1,138 cases). There were 735 emergency surgery cases (64.6%), and 813 (71.4%) patients were in the high-risk group. Estimated blood loss, fluid volume used, and the frequency and amount of blood transfusions were statistically higher in the high-risk group. Among 1,243 neonates, 918 (73.9%) were born from high-risk mothers. Neonatal birth weights and Apgar scores (1 and 5 minutes) from patients in the high-risk group were statistically lower than those in the non-high-risk group, and NICU admissions and stillbirths were statistically higher in the high-risk group. CONCLUSIONS: Anesthesiologists should be aware of unfavorable clinical outcomes in high-risk cesarean section groups and carefully prepare for anesthesia care in these cases.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Poids de naissance
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Transfusion sanguine
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Soins intensifs néonatals
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Césarienne
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Dossiers médicaux
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Études rétrospectives
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Urgences
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Mortinatalité
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Durée opératoire
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Hémorragie
Type d'étude:
Observational_studies
/
Risk_factors_studies
Limites du sujet:
Female
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Humans
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Newborn
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Pregnancy
langue:
En
Texte intégral:
Anesthesia and Pain Medicine
Année:
2016
Type:
Article