RISK FACTORS OF SEVERE HYPOTENSION AFTER SPINAL ANESTHESIA DURING C-SECTION AT BACH MAI HOSPITAL
Main Article Content
Abstract
Objects: Describe the characteristics of severe hypotension after spinal anesthesia during cesarean section and identify risk factors for this complication at Bach Mai Hospital. Methods: A prospective cohort study was conducted on 217 pregnant women undergoing spinal anesthesia for cesarean section at Bach Mai Hospital from May 2024 to August 2024. Results: 60.8% of pregnant women experienced severe hypotension. In the univariate analysis, there were 6 factors associated with severe hypotension: maternal age > 35 years, baseline systolic blood pressure ≥120 mmHg, speed injection, anesthesia site, block level, and intraoperative blood loss ≥500 ml. In multivariate regression analysis, age > 35 years, baseline systolic blood pressure ≥120 mmHg and speed injection were identified as 3 independent factors of severe hypotension. Conclusion: A study of 217 women undergoing spinal anesthesia for cesarean section showed that the rate of severe hypotension was 60.8%. Age over 35 years, baseline systolic blood pressure ≥120 mmHg, and drug injection rate were independent risk factors for severe hypotension after cesarean section anesthesia.
Article Details
Keywords
Severe hypotension, spinal anesthesia, cesarean section, risk factors
References


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