DOI: 10.36347/sjams.2023.v11i02.019

Pages: 391-395

Background: General anesthesia can be necessary during delivery for women with preeclampsia, a serious pregnancy condition characterized by high blood pressure and organ damage. However, the impact of general anesthesia on pregnant women with preeclampsia is not well understood and studies show conflicting results. The decision to use general anesthesia in such cases should be carefully weighed by the healthcare provider, considering the individual circumstances and potential risks and benefits. Aim of the study: The aim of this study was to assess the impact of general anesthesia on preeclamptic women. Methods: This cross-sectional study was conducted in Department of Anaesthesiology, Holy Family Red Crescent Medical College Hospital, Dhaka, Bangladesh, during the period from January 2022 to January 2023. Total 120 pregnant women with preeclampsia were included in this study. Result: Demographic and clinical data of participants in the general anesthesia group showed a mean maternal age of 24.12 years, 63.3% of whom were primigravida, and a mean weight of 76 kg. Pulse rate decreased from 97.8 before anesthesia to 91.1 after 1 hour, while systolic blood pressure decreased from 152.3 to 135.5 and diastolic blood pressure decreased from 92.5 to 79.4. The mean time from skin incision to delivery was 5.8 minutes and surgery lasted 43.5 minutes. Adverse events included surgical site infections (5.0%), anesthesia complications (7.5%), pulmonary edema (14.2%), and 1 death (0.8%). The mean postoperative pain score was 7.2. In this study, 29.2% patient were admitted to critical care unit. Newborns had a mean systolic arterial pressure of 55 mm Hg, heart rate of 141 beats per minute, and weight of 2.3 kg. Apgar score was below 6 for 20% at 1 minute and 10% at 5 minutes, with 52.5% of newborns admitted to the NICU. Conclusion: The present study provides important insights into the impact of general anesthesia on pregnant women with preeclampsia. While general anesthesia ......