Clinical evaluation of anesthesia for high-risk cesarean section at a tertiary medical center: retrospective study for 8 years (2009–2016)

H. W. Kang, W. Y. Kim, S. J. Jin, Y. H. Kim, T. J. Min, Y. S. Lee, J. H. Kim

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)4365-4373
Number of pages9
JournalJournal of International Medical Research
Volume47
Issue number9
DOIs
Publication statusPublished - 2019 Sep 1

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

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