Comparative Analysis Of Hemodynamic Response Following Spinal Anaesthesia Between Normotensive and Sever Pregnancy Induced Hypertensive Parturients For Elective Caesarian Section.

Dr. NAMRATA NATRAJ SADAFULE; Dr. SEEMA SHRIPAD KARHADE; Dr. Girish Saundattikar

Volume : VII, Issue : XII, December - 2017

Comparative Analysis Of Hemodynamic Response Following Spinal Anaesthesia Between Normotensive and Sever Pregnancy Induced Hypertensive Parturients For Elective Caesarian Section.

Dr. Namrata Natraj Sadafule, Dr. Seema Shripad Karhade, Dr. Girish Saundattikar

Abstract :

Aim– The aim of present study was to compare heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), vasopressor requirement, and neonatal outcome of normotensive and sever pre–eclamptic parturients undergoing cesarean section after spinal anaesthesia

Material and method– In this study 30 normotensive parturients (Group I) and 30 sever pre–eclamptic parturients (Group II) above 18 years of age undergoing elective cesarean section were included. Subarachnoid block was given with 12.5 mg of hyperbaric bupivacaine injection. Baseline heart rate (HR), Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) were recorded and then recording was done at every 2 minute interval after spinal anaesthesia till 10 minutes then at 5 minutes interval till 30 minutes and then at 10 minute interval till 60 minutes. Injection Mephentermin was given whenever SBP falls below 30% of baseline, total dose of mephentermin required was recorded. APGAR score was noted at 1 and 5 min after birth.

Results: The percentage of fall of SBP and DBP calculated from baseline in Pre–eclamptic parturients were (20.26% and 18.33%) which was less as compare to normotensive parturients (22.73% and 19.82%) respectively. Mephentermin requirement was significantly higher in normotensive parturients compared to pre–eclamptic parturients. APGAR score was good in both group.

Conclusion: Subarachnoid block is safe in sever pre–eclamptic parturients with good neonatal outcome. As these patients experience very less hypotension and require less vasopressor.

Summary– Subarachnoid block can be safely given to sever pre–eclamptic posted for ceaserian section.