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ORIGINAL ARTICLE
Year : 2019  |  Volume : 4  |  Issue : 2  |  Page : 180-187

Prevalence of maternal and fetal complications after general anesthesia for cesarean section in patients with class II HELLP syndrome in Assiut University Hospital


1 Department of Anesthesia, Faculty of Medicine, Assiut University, Assiut, Egypt
2 Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt

Correspondence Address:
Amr T Mostafa
Department, Faculty of Medicine, Assiut University, Assiut
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCMRP.JCMRP_137_18

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Background The low platelet count, associated with HELLP syndrome (HS) has often favored the choice of general anesthesia for the cesarean section (CS); however, general anesthesia in such cases is not a risk-free approach. General anesthesia is associated with increased risk of complications. Aim of work To evaluate the safety of general anesthesia in patients with class II HS scheduled for elective CS as regards maternal and fetal complications. Patients and methods In this prospective, observational study carried out at the maternal hospital in Assiut University Hospitals. We included all patients with class II HS scheduled for elective CS under general anesthesia who were admitted to the women health hospital during the 1 year. The study collected data about the incidence of neurological complications, incidence of intraoperative hemodynamic instability (hypotension, hypertension, bradycardia, and tachycardia), and effect of general anesthesia on fetal outcome including umbilical blood gas and Apgar score. Results The incidence of intraoperative and postoperative complications is higher in HS patients compared with CS in normal parturients as regards intraoperative hypertension, tachycardia, and postoperative neurological complications. Conclusion HS patients are at an increased risk of complications during CS under general anesthesia and alternative types of anesthesia like spinal or epidural anesthesia should be considered.


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