Anesthesia management in cesarean section with severe preeclampsia and non-reactive nonstress test

Authors

  • Ida Bagus Gede Raden Shuwawhibawa Manuaba Department of Anesthesiology, Wangaya General Hospital, Denpasar, Bali, Indonesia
  • I. Wayan Widana Department of Anesthesiology, Wangaya General Hospital, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241567

Keywords:

Preeclampsia, Anesthesia management, Regional anesthesia

Abstract

Maternal death and morbidity remain a global health issue. It is noted that 15%-20% of maternal deaths are due to complications of hypertension in pregnancy, namely preeclampsia. In cases of preeclampsia requiring cesarean section, anesthesia is necessary. A 23-year-old pregnant woman presented with complaints of decreased fetal movement for the past 2 days. She also reported headache and decreased vision. Physical examination revealed increased blood pressure (160/110 mmHg) and +1 protein in urine. Nonstress test showed non-reactive results. The patient was diagnosed with severe preeclampsia at 37 weeks 1 day gestation and underwent an urgent cesarean section. Anesthesia was managed using a subarachnoid block with bupivacaine 0.5% 12.5 mg, resulting in total block. The operation lasted 1 hour, and a baby boy was delivered with a weight of 1950 gm, length 50 cm, and APGAR score 7-8-9. Anesthetic management in preeclampsia cases must prioritize the safety of both mother and baby. Each anesthesia technique has its advantages and disadvantages.

References

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Wijayanto NH, Leksana ER, Budiono UP. The Effect of Regional and General Anesthesia on Cesarean Section in Mothers with Severe Preeclampsia on APGAR Score. J Indonesian Anesthesiol. 2012;4:115-6.

Supraptomo RTH, Uyun YM. Anesthesia Management in Cesarean Section with Severe Preeclampsia and Morbid Obesity. J Obstetr Anesthesia Indonesia. 2012;(2:45-6.

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Laksono SD, Masrie MS. Hypertension in Pregnancy: A Narrative Review. Herb-Med J. 2022;5:27-9.

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Published

2024-05-31

How to Cite

Manuaba, I. B. G. R. S., & Widana, I. W. (2024). Anesthesia management in cesarean section with severe preeclampsia and non-reactive nonstress test. International Journal of Research in Medical Sciences, 12(6), 2104–2105. https://doi.org/10.18203/2320-6012.ijrms20241567

Issue

Section

Case Reports