Retrospective study on anesthesia-related complications in cesarean deliveries / 中华麻醉学杂志

ABSTRACT

Objective:To retrospectively analyze the incidence and distribution characteristics of anesthesia-related complications in the cesarean delivery.Methods:The maternal data of cesarean section from the Department of Obstetrics of General Hospital of Ningxia Medical University were collected from 2011 to 2016 using the Electronic Medical Record Management System, and anesthesia-related complications were obtained according to discharge diagnosis, anesthesia records and disease records.Statistical analysis of the development of various anesthesia-related complications was performed.Stratified analysis of the distribution of anesthesia-related complications was performed according to different years, ages (≤19 years old, 20-29 years old, 30-39 years old, ≥40 years old), American Society of Anesthesiologists physical status (Ⅰ-Ⅵ), types of anesthesia (neuraxial anesthesia and general anesthesia) and types of plan (planned and unplanned), and complications with scar uterus.Results:A total of 7 595 parturients were included in this study, and 92 cases (1.21%) developed at least one anesthesia-related complication.There were 91 cases who developed central nervous system complications, including 89 cases (97.81%) with headache after neuraxial anesthesia and 2 cases (2.19%) with transient neurological symptoms.One case developed non-specific systemic complications (laryngospasm). There were no significant differences in the incidence of anesthesia-related complications in parturients of different years, ages, American Society of Anesthesiologists physical status, types of anesthesia and types of plan and with scar uterus ( P>0.05). Conclusion:The incidence of anesthesia-related complications is low in the cesarean delivery, and central nervous system complications are the main complications.