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The effect of postoperative epidural analgesia in women possessing severe gestational hypertension undergoing cesarean delivery

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DOI: 10.4236/ojog.2011.14030    3,396 Downloads   6,240 Views  

ABSTRACT

Introduction: The purpose of this study was to examine the clinical usefulness of postoperative epidural analgesia in patients possessing severe gestational hypertension after Cesarean delivery. Methods: We reviewed the obstetric records of 99 patients possessing severe gestational hypertension undergoing singleton Cesarean delivery at ≥ 22 weeks’ gestation. Thirty patients were received continuous epidural analgesia with 0.2% ropivacaine for pain relief after Cesarean delivery with spinal anesthesia, 69 patients were not received epidural analgesia after Cesarean delivery with spinal anesthesia. Results: During the preoperative period, there were no measurable differences in the diastolic blood pressure between the 2 groups (108 vs± 7 vs. 106 mmHg ± 10 mmHg, p = 0.29). The diastolic blood pressure at 2 and 4 hours after Cesarean section in the epidural analgesia group were significantly lower than those in the non-epidural group (2 hours after Cesarean section: 88 vs ± 13 vs. 95 mmHg ± 8 mmHg, p < 0.01; 4 hours after Cesarean section: 92 vs ± 15 vs. 102 mmHg ± 9 mmHg, p < 0.01). Conclusions: The current results indicated that the postoperative epidural analgesia can inhibit the rise in diastolic blood pressure in patients possessing severe gestational hypertension after Cesarean delivery. This electronic document is a “live” template. The various components of your paper [title, text, heads, etc.] are already defined on the style sheet, as illustrated by the portions given in this document.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Satomi, M. , Hiraizumi, Y. , Onodera, H. and Suzuki, S. (2011) The effect of postoperative epidural analgesia in women possessing severe gestational hypertension undergoing cesarean delivery. Open Journal of Obstetrics and Gynecology, 1, 159-162. doi: 10.4236/ojog.2011.14030.

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