Comparative Study Of Maternal Outcome Following Caesarian Delivery In Preeclamptic Women Under General And Spinal Anesthesia In Black Lion Specialized Hospital Addis Ababa

INTRODUCTION: Opinions are controversial regarding the use of General and spinal anesthesiarnin preeclamptic or eclamptic patients undergoing caesarean section. Several studies recommendedrnavoiding Spinal anesthesia in preeclamptic patients because of concern for sudden severernhypotension. However, other studies also support the use of spinal anesthesia as first choicernreasoning less post-operative morbidity and mortality.rnOBJECTIVE: To determine and compare maternal outcome among preeclamptic women afterrncaesarian delivery under general and spinal anesthesia in Black lion Specialized Hospital, AddisrnAbaba, Ethiopia.rnMETHODS: Hospital based retrospective comparative cross sectional study was used to comparernmaternal outcome. All preeclamptic mothers that underwent Caesarian Section in Obstetrics andrngynecology ward, Black Lion Referral Specialized Hospital from October 2014 to Octoberrn2016was included in the study. Data collection was carried out by using structured questionnaire.rnData entry and cleaning was done on SPSS version 20. Result is explained using frequency tables,rngraphs and descriptive summaries. Independent sample T-test was conducted to compare thernoutcome in both groups of spinal and general anesthesia, 95% confidence interval (CI) and p valuern< 0.05 is set as cut off point for statistical significance.rnRESULT: A total of 170 patients’ document was reviewed depending on the eligibility criteriarnand availability of the documents. The mean age of study subjects were 28.18 years and SD= ± 4.66rnyears, the median age is 28 years (IQR: 25-30). Present finding shows that both general and spinalrnanesthesia has no difference in terms of maternal survival status, days of hospital stay, post-rnoperative admission to ICU, and post-operative complications. But this study found statisticallyrnsignificant higher post operative blood pressure and pulse rate among GA group when comparedrnwith SA group.rnConclusion፡ In conclusion SA is safer than GA in terms of stable vital signs among preeclampticrnwomen.

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