Anuar, Norhayati
(2018)
A 5-year review of anaesthetic techniques for caesarean section in parturients with heart diseases.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background : Parturients with heart diseases that presents for delivery possess
challenges to anaesthetists, cardiologists and obstetricians. The objectives of study are to
study the prevalence and characteristics of parturients underwent Caesarean section in
Hospital Serdang.
Methods : This is a retrospective study where the data for five years was collected in
Hospital Serdang between 1st January 2011 till 31st December 2015. Data of the cases
selected was retrieved from the computerized patient data system which is the electronic
data bases, Lab Information System (LIS) via Medicomm and E His Live of Hospital
Serdang, Selangor. Demographic, types of anaesthesia and postoperative care were
recorded.
Results : The descriptive methods and multiple logistic regression were applied to answer
the objectives of the study. Total of 84 parturients involved in this study. Multiple logistic
regression analysis showed that no factor was significantly associated with parturients
with heart diseases that underwent Caesarean section under regional anaesthesia that
underwent Caesarean section in Hospital Serdang. The proportion of parturients
underwent Caesarean section using regional anesthesia was 89.3% (95% CI: 83.3, 95.3).
Mean age of them was 30.9 (5.38) years old. Meanwhile, mean (SD) parity and
gestational weeks were 1.6 (0.87) and 36.9 (1.42) weeks, respectively.
Conclusion : However based on descriptive analysis, it was found that regional
anaesthesia is still the most preferable techniques for Caesarean section among parturients
with severe heart conditions
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