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Anesthesia in pregnant women with HELLP syndrome
Author(s) -
VigilDe Gracia P,
Silva S,
Montufar C,
Carrol I,
De Los Rios S
Publication year - 2001
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(01)00390-3
Subject(s) - hellp syndrome , medicine , pregnancy , anesthesia , vaginal delivery , obstetric anesthesia , elective cesarean section , obstetrics , complication , retrospective cohort study , cesarean delivery , surgery , eclampsia , genetics , biology
Objective: Our purpose was to determine the types of anesthesia and neurologic or hematologic complications found in pregnancy with HELLP syndrome providing analgesia for cesarean section. Methods: This is a retrospective study. For the period of 1 July 1996, through 30 June 2000, we reviewed the charts of all patients with HELLP syndrome who had cesarean section. Results: During the period of study 119 patients had HELLP syndrome. Eighty‐five patients had cesarean delivery and 34 had vaginal delivery. Seventy‐one patients had diagnosed HELLP syndrome previous to the anesthesia and 14 postcesarean delivery; the range platelet count was 19 000–143 000/μl. Of these 71, 58 had an epidural anesthesia, 9 had general anesthesia and 4 had spinal anesthesia. There were no neurologic complications or bleeding in the epidural space. Conclusion: We found no documentation of any neurologic or hematologic complications of women with HELLP syndrome and neuraxial anesthesia.