| Maternal hypotension during elective cesarean section and short-term neonatal outcome. | |
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MedLine Citation:
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PMID: 19716536 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ayala Maayan-Metzger; Irit Schushan-Eisen; Liat Todris; Abba Etchin; Jacob Kuint |
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Publication Detail:
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Type: Journal Article Date: 2009-08-28 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 202 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-01-25 Completed Date: 2010-03-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 56.e1-5 Citation Subset: AIM; IM |
Copyright Information:
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2010 Mosby, Inc. |
Affiliation:
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Department of Neonatology, The Edmond and Lili Safra Children's Hospital, Tel-Aviv University, Israel. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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Am J Obstet Gynecol. 2010 Jan;202(1):e12-4
[PMID:
20096250
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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