Incidence and associated factors for hypotension after spinal anesthesia during cesarean section at Gandhi Memorial Hospital Addis Ababa, Ethiopia

Spinal anesthesia is a type of regional anesthesia that has been practicing for obstetric anesthesia since the beginning of the 20th century. Despite the simplicity and lower maternal mortality risk, compared to general anesthesia, spinal anesthesia is linked to different adverse effects, of which h...

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Bibliographic Details
Published in:PloS one 2020-08, Vol.15 (8), p.e0236755-e0236755
Main Authors: Shitemaw, Tewoderos, Jemal, Bedru, Mamo, Temesgen, Akalu, Luelayehu
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesiology
Biology and Life Sciences
Blood pressure
Cesarean section
Complications and side effects
Demographic aspects
Drug dosages
General anesthesia
Health sciences
Hospitals
Hypertension
Hypotension
Medicine and Health Sciences
Obstetrical anesthesia
Obstetrics
Patient outcomes
Physiology
Questionnaires
Regional anesthesia
Regression analysis
Response rates
Risk analysis
Risk factors
Skin
Social Sciences
Sociodemographics
Statistical analysis
Studies
Variables
Weight
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Summary:Spinal anesthesia is a type of regional anesthesia that has been practicing for obstetric anesthesia since the beginning of the 20th century. Despite the simplicity and lower maternal mortality risk, compared to general anesthesia, spinal anesthesia is linked to different adverse effects, of which hypotension is the most common complication. The main aim of this study was to determine the incidence and associated factors of hypotension after spinal anesthesia during cesarean section. Institution-based cross-sectional study was conducted with 410 clients. The study was conducted on cesarean section under spinal anesthesia from 5.sup.th January to 30.sup.th April 2019, at the Gandhi Memorial Hospital, Addis Ababa, Ethiopia. Both bivariable and multivariable logistic regression analysis were done on the associated factors. The level of statistical significance was represented at p 6minutes AOR = 1.803; 95%CI: (1.044-3.114) and anesthetist experience AOR = 5.033(95%CI: 2.144-11.818) were also associated with hypotension. The identified risk factors for hypotension, after spinal anesthesia are sensory height block, weight of the baby, the time interval between spinal induction and skin incision, baseline systolic blood pressure, and anesthetist experience.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0236755