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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Retrospective evaluation of anaesthesia methods in pregnant women with neurological and neuromuscular syndromes who underwent caesarean section
A. Sargin1, *, Z. Pestilci Cağıran Cağıran1, U. Ozdemir Biliç Biliç1, B. Tanatti Orhanel1, S. Karaman1
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1
Department of Anaesthesiology and Reanimation, Ege University School of Medicine, Izmir, Turkey
Clin. Exp. Obstet. Gynecol. 2017, 44(5), 700–703;
https://doi.org/10.12891/ceog3638.2017
Published: 10 October 2017
Abstract
Purpose: The purpose of this study was to investigate the anaesthesia methods used in pregnant women with neurological or neuromuscular disease who underwent caesarean section. Materials and Methods: Demographics; pregnancy weeks, urgent or elective caesarean section, accompanying neurological or neuromuscular diseases, and anaesthesia type. Results: Of the pregnant women operated on, 72% (16),14% (three) and 14% (three) were diagnosed with epilepsy, multiple sclerosis (MS), and myasthenia gravis (MG), respectively. General anaesthesia was administered in 45%, 40%, and 25% of epileptic pregnant women, patients with MS, and those diagnosed with MG, respectively. Spinal anaesthesia was administered in 55%, 20%, and 75% of epileptic pregnant women, those with MS, and those diagnosed with MG, respectively. Conclusion: Regional anaesthesia may be an appropriate option in pregnant women with neurological or neuromuscular diseases. Epidural anaesthesia may be a safer method in terms of ensuring the control of block level.
Keywords
Epilepsy
Myasthenia gravis
Multiple sclerosis
Obstetrical anaesthesia