DOI: https://doi.org/10.22141/2224-0586.8.103.2019.192384

Epidural analgesia as a method of choice for anesthetic support of delivery in pregnant women with moderate preeclampsia

Yu.V. Mrochko, Ya.M. Pidhirnyy

Abstract


This article considers the problem of anesthesiology of physiologic delivery in pregnant women with preeclampsia. Preeclampsia is a specific multiorgan disorder that arises from the second/third trimester of pregnancy and is accompanied by such critical conditions as eclampsia, HELLP syndrome, acute kidney damage, brain edema. The main complications for the fetus are growth restriction, prematurity and stillbirth. In the postpartum period, there is an increased risk of hypertension, diabetes, and disability in such women. The anesthetic support of the process of delivery in these patients remains an urgent problem. We have covered the experience of anesthesiology of delivery in pregnant women with moderate preeclampsia by means of epidural analgesia with low-concentration local anesthetics (10.0 ml of 0.125% ropivacaine). In the process of anesthetic management of childbirth in a pregnant woman with preeclampsia, hemodynamic indicators and pain levels were monitored before delivery, 24 hours after, and on the third day after delivery. According to the results of studies, it can be stated that epidural analgesia permissibly lowers hemodynamic parame­ters; at the same time, it does not adversely affect the process of physiologic delivery, and may be a method of choice for ane­sthetic support of delivery in this category of pregnant women.

Keywords


preeclampsia; epidural analgesia; childbirth; monitoring

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