Clinical evaluation of anesthesia for cesarean section at tertiary medical center: retrospective study for 5 years (2009-2013)Clinical evaluation of anesthesia for cesarean section at tertiary medical center: retrospective study for 5 years (2009-2013)
- Other Titles
- Clinical evaluation of anesthesia for cesarean section at tertiary medical center: retrospective study for 5 years (2009-2013)
- Authors
- 박상희; 김동준; 김운영; 김재환; 이윤숙; 박영철
- Issue Date
- 2016
- Publisher
- 대한마취통증의학회
- Keywords
- Cesarean section; High-risk delivery; Obstetric anesthesia
- Citation
- Anesthesia and Pain Medicine, v.11, no.1, pp.49 - 54
- Indexed
- KCI
- Journal Title
- Anesthesia and Pain Medicine
- Volume
- 11
- Number
- 1
- Start Page
- 49
- End Page
- 54
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/90567
- DOI
- 10.17085/apm.2016.11.1.49
- ISSN
- 1975-5171
- 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 retro- spectively 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). Para- meters 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.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.