Case Report
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Spina Bifidalı Gebede Sezaryen Doğum İçin Anestezi Uygulaması; Bir Olgu Raporu

Year 2023, , 225 - 230, 06.09.2023
https://doi.org/10.18614/deutip.1269921

Abstract

Spina bifidalı hastaların gebe kalması dünya genelinde nadir bir durumdur. Bu hastalarda obstetri ve anestezi ekipleri arasında tam işbirliği, ayrıntılı hasta muayenesi ve gerekli açıklamaların iyi yapılması elzemdir. Bu olguda; hastanemizde elektif sezaryen planlanan nöral tüp defektli hastanın anestezi yönetimine yönelik yaklaşımımızı belirlemek için yaptığımız araştırmada, konu ile ilgili literatürün az sayıda olması nedeniyle benzer hastalar için her deneyimin bir katkı olabileceğini ve paylaşılması gerektiğini düşündük.

References

  • 1. Flores AL, Vellozzi C, Valencia D, Sniezek J. Global Burden of Neural Tube Defects, Risk Factors, and Prevention. Indian J Community Health. 2014;26(Suppl 1):3-5.
  • 2. Botto LD, Moore CA, Khoury MJ, Erickson JD. Neural-Tube Defects. https://doi.org/101056/NEJM199911113412006. 1999;341(20):1509-1519. doi:10.1056/NEJM199911113412006
  • 3. Rietberg CC, Lindhout D. Adult patients with spina bifida cystica: genetic counselling, pregnancy and delivery. Eur J Obstet Gynecol Reprod Biol. 1993;52(1):63-70. doi:10.1016/0028-2243(93)90227-4
  • 4. Shepard CL, Yan PL, Hollingsworth JM, Kraft KH. Pregnancy among mothers with spina bifida. J Pediatr Urol. 2018;14(1):11.e1-11.e6. doi:10.1016/j.jpurol.2017.08.001
  • 5. Arata M, Grover S, Dunne K, Bryan D. Pregnancy outcome and complications in women with spina bifida. J Reprod Med. 2000;45(9):743-748.
  • 6. Ferreira Furtado LM, Da Costa Val Filho JA, Dantas F, Moura de Sousa C. Tethered Cord Syndrome After Myelomeningocele Repair: A Literature Update. Cureus. 2020;12(10):e10949. doi:10.7759/cureus.10949
  • 7. Sivarajah K, Relph S, Sabaratnam R, Bakalis S. Spina bifida in pregnancy: A review of the evidence for preconception, antenatal, intrapartum and postpartum care. Obstet Med. 2019;12(1):14-21. doi:10.1177/1753495X18769221
  • 8. Chaliha C, Stanton SL. Urological problems in pregnancy. BJU Int. 2002;89(5):469-476. doi:10.1046/j.1464-410x.2002.02657.x
  • 9. Jackson AB, Sipski ML. Reproductive issues for women with spina bifida. J Spinal Cord Med. 2005;28(2):81-91.
  • 10. Shashikiran, Bala R. Management of kyphoscoliotic pregnant patient presenting with impending respiratory failure – A case report. Journal of Obstetric Anaesthesia and Critical Care. 2021;11(2):112. doi:10.4103/joacc.joacc_92_20
  • 11. Barros Silva J. a LN a , RC a , NA a , SL a. Spina Bifida Occulta: A Challenge for Obstetric Anaesthesia?(2017). doi:https://doi.org/10.26226/morressier.58f5b02fd462b80296c9e21b
  • 12. O’Neal MA. A pregnant woman with spina bifida: Need for a multidisciplinary labor plan. Front Med (Lausanne). 2017;4(OCT). doi:10.3389/fmed.2017.00172
  • 13. Tidmarsh MD, May AE. Epidural anaesthesia and neural tube defects. Int J Obstet Anesth. 1998;7(2):111-114. doi:10.1016/s0959-289x(98)90007-3
  • 14. Baydur A, Milic-Emili J. Respiratory mechanics in kyphoscoliosis. Monaldi Arch Chest Dis. 1993;48(1):69-79. Accessed September 7, 2022. https://europepmc.org/article/med/8472069
  • 15. Raji HO, Suleiman ZA, Abdulkadir ZA, Abdulrahman A. Case Report Caesarean section in a primigravida with spina bifida occulta and a spinal cord stimulator : Preconception counselling , antenatal care and anesthetic considerations. Published online 2018:192-195. doi:10.4103/TJOG.TJOG
  • 16. Kopp SL, Jacob AK, Hebl JR. Regional Anesthesia in Patients with Preexisting Neurologic Disease. In: Regional Anesthesia and Pain Medicine. Vol 40. Lippincott Williams and Wilkins; 2015:467-478. doi:10.1097/AAP.0000000000000179

Anesthesia Management for Cesarean Delivery in Pregnant Women with Spina Bifida; A Case Report

Year 2023, , 225 - 230, 06.09.2023
https://doi.org/10.18614/deutip.1269921

Abstract

Patients with spina bifida to become pregnant is rare condition in worlwide. A thorough examination and explanation of the patient in terms of obstetrics and anesthesia is essential at every step of the management of these patients. Both clinics need to work cooperatively. Data on these cases are scarce in the literature. Each experience brings a contribution to the literature. We present our approach in terms of anesthesia management of a case with neural tube defect who was delivered by cesarean section in a tertiary center.

References

  • 1. Flores AL, Vellozzi C, Valencia D, Sniezek J. Global Burden of Neural Tube Defects, Risk Factors, and Prevention. Indian J Community Health. 2014;26(Suppl 1):3-5.
  • 2. Botto LD, Moore CA, Khoury MJ, Erickson JD. Neural-Tube Defects. https://doi.org/101056/NEJM199911113412006. 1999;341(20):1509-1519. doi:10.1056/NEJM199911113412006
  • 3. Rietberg CC, Lindhout D. Adult patients with spina bifida cystica: genetic counselling, pregnancy and delivery. Eur J Obstet Gynecol Reprod Biol. 1993;52(1):63-70. doi:10.1016/0028-2243(93)90227-4
  • 4. Shepard CL, Yan PL, Hollingsworth JM, Kraft KH. Pregnancy among mothers with spina bifida. J Pediatr Urol. 2018;14(1):11.e1-11.e6. doi:10.1016/j.jpurol.2017.08.001
  • 5. Arata M, Grover S, Dunne K, Bryan D. Pregnancy outcome and complications in women with spina bifida. J Reprod Med. 2000;45(9):743-748.
  • 6. Ferreira Furtado LM, Da Costa Val Filho JA, Dantas F, Moura de Sousa C. Tethered Cord Syndrome After Myelomeningocele Repair: A Literature Update. Cureus. 2020;12(10):e10949. doi:10.7759/cureus.10949
  • 7. Sivarajah K, Relph S, Sabaratnam R, Bakalis S. Spina bifida in pregnancy: A review of the evidence for preconception, antenatal, intrapartum and postpartum care. Obstet Med. 2019;12(1):14-21. doi:10.1177/1753495X18769221
  • 8. Chaliha C, Stanton SL. Urological problems in pregnancy. BJU Int. 2002;89(5):469-476. doi:10.1046/j.1464-410x.2002.02657.x
  • 9. Jackson AB, Sipski ML. Reproductive issues for women with spina bifida. J Spinal Cord Med. 2005;28(2):81-91.
  • 10. Shashikiran, Bala R. Management of kyphoscoliotic pregnant patient presenting with impending respiratory failure – A case report. Journal of Obstetric Anaesthesia and Critical Care. 2021;11(2):112. doi:10.4103/joacc.joacc_92_20
  • 11. Barros Silva J. a LN a , RC a , NA a , SL a. Spina Bifida Occulta: A Challenge for Obstetric Anaesthesia?(2017). doi:https://doi.org/10.26226/morressier.58f5b02fd462b80296c9e21b
  • 12. O’Neal MA. A pregnant woman with spina bifida: Need for a multidisciplinary labor plan. Front Med (Lausanne). 2017;4(OCT). doi:10.3389/fmed.2017.00172
  • 13. Tidmarsh MD, May AE. Epidural anaesthesia and neural tube defects. Int J Obstet Anesth. 1998;7(2):111-114. doi:10.1016/s0959-289x(98)90007-3
  • 14. Baydur A, Milic-Emili J. Respiratory mechanics in kyphoscoliosis. Monaldi Arch Chest Dis. 1993;48(1):69-79. Accessed September 7, 2022. https://europepmc.org/article/med/8472069
  • 15. Raji HO, Suleiman ZA, Abdulkadir ZA, Abdulrahman A. Case Report Caesarean section in a primigravida with spina bifida occulta and a spinal cord stimulator : Preconception counselling , antenatal care and anesthetic considerations. Published online 2018:192-195. doi:10.4103/TJOG.TJOG
  • 16. Kopp SL, Jacob AK, Hebl JR. Regional Anesthesia in Patients with Preexisting Neurologic Disease. In: Regional Anesthesia and Pain Medicine. Vol 40. Lippincott Williams and Wilkins; 2015:467-478. doi:10.1097/AAP.0000000000000179
There are 16 citations in total.

Details

Primary Language Turkish
Subjects Anaesthesiology
Journal Section Case Studies
Authors

Faruk Furkan Bank 0000-0002-8658-3475

Büşra Manduz Yavuz 0000-0001-8820-6967

Onur Yavuz 0000-0003-3716-2145

Bahar Kuvaki 0000-0002-5160-0634

Publication Date September 6, 2023
Submission Date March 23, 2023
Published in Issue Year 2023

Cite

Vancouver Bank FF, Manduz Yavuz B, Yavuz O, Kuvaki B. Spina Bifidalı Gebede Sezaryen Doğum İçin Anestezi Uygulaması; Bir Olgu Raporu. DEU Tıp Derg. 2023;37(2):225-30.