Open Journal of Obstetrics and Gynecology

Volume 1, Issue 4 (December 2011)

ISSN Print: 2160-8792   ISSN Online: 2160-8806

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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    3,874 Downloads   7,118 Views  

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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.

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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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