Fetal and neonatal status following caesarean section using different modes of anesthesia in pregnant women with severe preeclampsia

Abstract

The impact of spinal anesthesia and total intravenous anesthesia under mechanical ventilation on uterine-fetal-placental blood flow and neonatal status following cesarean section was evaluated in pregnant women with severe preeclampsia. Group 1 women («=45) were operated on under spinal anesthesia; Group 2 («=35) received total intravenous anesthesia under mechanical ventilation. A control group (Group 3) consisted of 50 pregnant women who had undergone surgical delivery for different indications. Spinal versus total intravenous anesthesia was ascertained to improve perinatal outcomes in pregnant women with severe preeclampsia, which is apparently associated with its favorable impact on uterine-placental-fetal blood flow.