TITLE:
The effect of postoperative epidural analgesia in women possessing severe gestational hypertension undergoing cesarean delivery
AUTHORS:
Misao Satomi, Yoshie Hiraizumi, Hidetaka Onodera, Shunji Suzuki
KEYWORDS:
Postoperative Epidural Analgesia; Severe Gestational Hypertension; Ropivacaine; Cesarean Delivery
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.1 No.4,
November
21,
2011
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