Abstract
Objective: The number of high-risk pregnancies is increasing in tertiary medical centers. Therefore, we investigated perioperative outcomes based on risk factors to ascertain proper maternal and neonatal management. Methods: We reviewed the medical records of patients receiving cesarean sections over an 8-year period. Clinical parameters for anesthesia and the neonatal outcome were compared among high-risk groups after subdivision by the number of clinical risk factors. The groups were as follows: group A (one risk factor), group B (two risk factors), and group C (three or more risk factors). Results: Patient age, estimated blood loss (EBL), and volume of transfused red blood cell (RBC) were higher in group B than group A. Birth weight, 1- and 5-minute Apgar scores, and gestational age were lower while the frequency of neonatal intensive care unit (NICU) admission was higher in group B than group A. Group C patients were significantly older than group A or B patients. Birth weight, 1- and 5-minute Apgar scores and gestational age were significantly lower while frequency of NICU admission was higher in group C than group A and B. Conclusion: The number of maternal risk factors was positively associated with adverse outcomes in the neonates.
| Original language | English |
|---|---|
| Pages (from-to) | 4365-4373 |
| Number of pages | 9 |
| Journal | Journal of International Medical Research |
| Volume | 47 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - 2019 Sep 1 |
Fingerprint
Keywords
- Apgar score
- birth weight
- cesarean section
- estimated blood loss
- gestational age
- high-risk delivery
- obstetric anesthesia
ASJC Scopus subject areas
- Biochemistry
- Cell Biology
- Biochemistry, medical
Cite this
Clinical evaluation of anesthesia for high-risk cesarean section at a tertiary medical center : retrospective study for 8 years (2009–2016). / Kang, H. W.; Kim, W. Y.; Jin, S. J.; Kim, Y. H.; Min, T. J.; Lee, Y. S.; Kim, J. H.
In: Journal of International Medical Research, Vol. 47, No. 9, 01.09.2019, p. 4365-4373.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Clinical evaluation of anesthesia for high-risk cesarean section at a tertiary medical center
T2 - retrospective study for 8 years (2009–2016)
AU - Kang, H. W.
AU - Kim, W. Y.
AU - Jin, S. J.
AU - Kim, Y. H.
AU - Min, T. J.
AU - Lee, Y. S.
AU - Kim, J. H.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Objective: The number of high-risk pregnancies is increasing in tertiary medical centers. Therefore, we investigated perioperative outcomes based on risk factors to ascertain proper maternal and neonatal management. Methods: We reviewed the medical records of patients receiving cesarean sections over an 8-year period. Clinical parameters for anesthesia and the neonatal outcome were compared among high-risk groups after subdivision by the number of clinical risk factors. The groups were as follows: group A (one risk factor), group B (two risk factors), and group C (three or more risk factors). Results: Patient age, estimated blood loss (EBL), and volume of transfused red blood cell (RBC) were higher in group B than group A. Birth weight, 1- and 5-minute Apgar scores, and gestational age were lower while the frequency of neonatal intensive care unit (NICU) admission was higher in group B than group A. Group C patients were significantly older than group A or B patients. Birth weight, 1- and 5-minute Apgar scores and gestational age were significantly lower while frequency of NICU admission was higher in group C than group A and B. Conclusion: The number of maternal risk factors was positively associated with adverse outcomes in the neonates.
AB - Objective: The number of high-risk pregnancies is increasing in tertiary medical centers. Therefore, we investigated perioperative outcomes based on risk factors to ascertain proper maternal and neonatal management. Methods: We reviewed the medical records of patients receiving cesarean sections over an 8-year period. Clinical parameters for anesthesia and the neonatal outcome were compared among high-risk groups after subdivision by the number of clinical risk factors. The groups were as follows: group A (one risk factor), group B (two risk factors), and group C (three or more risk factors). Results: Patient age, estimated blood loss (EBL), and volume of transfused red blood cell (RBC) were higher in group B than group A. Birth weight, 1- and 5-minute Apgar scores, and gestational age were lower while the frequency of neonatal intensive care unit (NICU) admission was higher in group B than group A. Group C patients were significantly older than group A or B patients. Birth weight, 1- and 5-minute Apgar scores and gestational age were significantly lower while frequency of NICU admission was higher in group C than group A and B. Conclusion: The number of maternal risk factors was positively associated with adverse outcomes in the neonates.
KW - Apgar score
KW - birth weight
KW - cesarean section
KW - estimated blood loss
KW - gestational age
KW - high-risk delivery
KW - obstetric anesthesia
UR - http://www.scopus.com/inward/record.url?scp=85072361228&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85072361228&partnerID=8YFLogxK
U2 - 10.1177/0300060519859749
DO - 10.1177/0300060519859749
M3 - Article
C2 - 31331228
AN - SCOPUS:85072361228
VL - 47
SP - 4365
EP - 4373
JO - Journal of International Medical Research
JF - Journal of International Medical Research
SN - 0300-0605
IS - 9
ER -