Comparing the effect of hypotension treatment due to spinal anesthesia with ephedrine or phenylephrine on arterial blood gases and neonatal Apgar score during cesarean delivery in obese mothers: randomized clinical trial

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

FAKHARI SOLMAZ; Bilejani Eisa; ATASHKHOUEI SIMIN; KHANBABAYI GOL MEHDI; Soliemanzadeh Safa

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Iranian Journal of Obstetrics, Gynecology and Infertility Year:2019 | Volume:22 | Issue:10 Page(s): 12-20

Download Full-Text

Persian Verion

View:

370

Download:

Cites:

Information Journal Paper

Title

Comparing the effect of hypotension treatment due to spinal anesthesia with ephedrine or phenylephrine on arterial blood gases and neonatal Apgar score during cesarean delivery in obese mothers: randomized clinical trial

Author(s)

Keywords

ApgarQ2

CaesareanQ1

EphedrineQ2

ObesityQ2

PhenylephrineQ1

Abstract

Introduction: Hypertension in obese patients is more affected by spinal anesthesia than normal people. Due to the lack of study and recommendation of articles about comparison of Ephedrine and Phenylephrine in obese patients during cesarean section, this study was performed with aim to compare the effect of hypotension treatment due to spinal anesthesia with Ephedrine and Phenylephrine on the status of arterial blood gas and Apgar score during cesarean delivery in obese mothers. Methods: This randomized clinical trial was performed in 2016 on 100 pregnant women with BMI≥ 30kg/m2 (according to the formula) who were candidates for elective cesarean section in Tabriz Alzahra Hospital. Demographic characteristics and maternal and fetal status as well as analysis of arterial blood gases of umbilical artery were included in the researcher-made checklist. Data were analyzed by SPSS software (version 20) and t-test, Chi-square and Mann-Whitney U test. P< 0. 05 was considered statistically significant. Results: There was statistically significant difference between two groups in terms of HCO3-(P=0. 048), BE (P=0. 035), heart rate (P=0. 002), systolic (P=0. 003) and diastolic (P=0. 004) blood pressure during anesthesia and surgery; Phenylephrine group had more stability. No significant difference was found between two groups in terms of other variables (blood pressure and arterial oxygen saturation) (P>0. 06) and neonatal Apgar score (first and fifth minutes) (P>0. 05). Conclusion: Phenylephrine leads to better and more effective treatment of hypertension than Ephedrine in pregnant women with BMI≥ 30kg /m2 with spinal anesthesia; also neonatal complications such as metabolic acidosis have been less observed in obese patients treated with Phenylephrine.

Cites

No record.

References

Cite

APA: Copy

FAKHARI, SOLMAZ, Bilejani, Eisa, ATASHKHOUEI, SIMIN, KHANBABAYI GOL, MEHDI, & Soliemanzadeh, Safa. (2019). Comparing the effect of hypotension treatment due to spinal anesthesia with ephedrine or phenylephrine on arterial blood gases and neonatal Apgar score during cesarean delivery in obese mothers: randomized clinical trial. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, 22(10 ), 12-20. SID. https://sid.ir/paper/375279/en

Vancouver: Copy

FAKHARI SOLMAZ, Bilejani Eisa, ATASHKHOUEI SIMIN, KHANBABAYI GOL MEHDI, Soliemanzadeh Safa. Comparing the effect of hypotension treatment due to spinal anesthesia with ephedrine or phenylephrine on arterial blood gases and neonatal Apgar score during cesarean delivery in obese mothers: randomized clinical trial. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY[Internet]. 2019;22(10 ):12-20. Available from: https://sid.ir/paper/375279/en

IEEE: Copy

SOLMAZ FAKHARI, Eisa Bilejani, SIMIN ATASHKHOUEI, MEHDI KHANBABAYI GOL, and Safa Soliemanzadeh, “Comparing the effect of hypotension treatment due to spinal anesthesia with ephedrine or phenylephrine on arterial blood gases and neonatal Apgar score during cesarean delivery in obese mothers: randomized clinical trial,” IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, vol. 22, no. 10 , pp. 12–20, 2019, [Online]. Available: https://sid.ir/paper/375279/en

Related Journal Papers