Document Detail


Maternal hypotension during elective cesarean section and short-term neonatal outcome.
MedLine Citation:
PMID:  19716536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the extent and risk factors for hypotension among women undergoing elective cesarean section, and whether maternal hypotension has any impact on perinatal infant outcome. STUDY DESIGN: Retrospective analysis of data on 919 mother-infant pairs after elective cesarean section that involved the use of regional anesthetic. Data collection included information on maternal blood pressure during the cesarean section procedure and any infant perinatal complications. RESULTS: Nearly one-half of the mothers underwent a decrease in their mean arterial blood pressure by > or =30%. The risk factors for hypotension included preoperative hypertension, older age, type of spinal anesthesia, and a higher infant birthweight. A drop in the maternal mean arterial blood pressure exceeding 30% or even 50% compared with the preoperative value was not found to predict any perinatal complications. CONCLUSION: Despite a very high prevalence of maternal hypotension during cesarean sections, term infants tend to tolerate this placental blood perfusion challenge without any major sequel.
Authors:
Ayala Maayan-Metzger; Irit Schushan-Eisen; Liat Todris; Abba Etchin; Jacob Kuint
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Publication Detail:
Type:  Journal Article     Date:  2009-08-28
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  202     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-25     Completed Date:  2010-03-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56.e1-5     Citation Subset:  AIM; IM    
Copyright Information:
2010 Mosby, Inc.
Affiliation:
Department of Neonatology, The Edmond and Lili Safra Children's Hospital, Tel-Aviv University, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section*
Female
Humans
Hypotension / epidemiology*
Infant, Newborn
Logistic Models
Obstetric Labor Complications / epidemiology*
Pregnancy
Pregnancy Outcome*
Pregnancy in Diabetics / epidemiology
Prenatal Exposure Delayed Effects / epidemiology*
Respiratory Distress Syndrome, Newborn / epidemiology
Risk Factors
Surgical Procedures, Elective
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 2010 Jan;202(1):e12-4   [PMID:  20096250 ]

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