Sezaryen yapılan Türk ve göçmen hastalarda anestezi sonuçlarının karşılaştırılması

Yıl 2023, Cilt: 9 Sayı: 3, 228 - 234, 31.12.2023

Ayşe Gül Ferlengez , Abdurrahman Tünay

https://doi.org/10.30569/adiyamansaglik.1297358

Öz

Amaç: Çalışmamız göçmen ve Türk hastalar arasındaki anestezi komplikasyonlarını karşılaştırmayı, böylece klinisyenlere ve anestezistlere farklı ırktan obstetrik popülasyonlarda sezaryenle operatif doğum yönetimi konusunda daha fazla bilgi vermeyi amaçlamaktadır.
Gereç ve Yöntem: 06.2018-08.2018 tarihleri arasında sezaryen anestezi formları retrospektif olarak incelenerek çalışma gerçekleştrildi. Yaş, gebelik haftası, ameliyat endikasyonu, uygulanan anestezi yöntemi, annedeki komplikasyonlar (hipotansiyon, bradikardi, kanama, kusma) kaydedildi.
Bulgular: Çalışmamıza 143 Türk ve 145 göçmen hasta alındı. Göçmen hastalarda hastaların ASA II skoru, acil sezaryen (CS) oranı, kusma, hipotansiyon insidansı, Türk hastalara göre istatistiksel olarak daha yüksekti (p<0,05). İki hasta grubu arasında bradikardi adına istatistiksel olarak anlamlı fark bulunmadı.
Sonuç: Takipsiz obstetrik popülasyonda acil sezaryen operasyonlarının önündeki engelleri vurguluyoruz, bu nedenle hem kadın doğum uzmanlarının hem de anestezistlerin bu konudaki farkındalığının artırılması hayati önem taşıyor.

Anahtar Kelimeler

Sezeryan, Anestezi, Göçmen

Etik Beyan

Ethics committee approval was obtained with the decision of the Ethics Committee for Non-Interventional Procedures of Istanbul Training and Research Hospital, dated 07.02.2020, and numbered 2170. The principles of the Declaration of Helsinki conducted the research.

Destekleyen Kurum

No person/organization is supporting this study financially.

Comparison of anesthesia results in Turkish and immigrant patients who underwent cesarean section

Öz

Aim: Our study aims to compare anesthesia complications between immigrant and Turkish patients thus better knowledge to clinicians and anesthetists for the management of cesarean operative delivery among different race obstetric populations.
Materials and Methods: Between 06.2018-08.2018, cesarean anesthesia forms were examined retrospectively. Age, gestational week, indication of surgery, anesthesia method applied, complications in mother (hypotension, bradycardia, bleeding, emesis) recorded.
Results: 143 Turkish and 145 immigrant patients were recruited for our study. ASA II score, emergency cesarean (CS) rate, emesis incidence, hypotension rate of patients were statistically higher in immigrant patients than in Turkish patients (p<0.05). There was statically no significant difference found between the two groups of patients on behalf of bradycardia.
Conclusion: We highlight the barriers to emergency cesarean section operations in the un-monitored obstetric population, so it is vital to raise awareness of both obstetricians and anesthesiologists on this issue.

Anahtar Kelimeler

Cesarean, Anesthesia, Immigrant

Etik Beyan

Ethics committee approval was obtained with the decision of the Ethics Committee for Non-Interventional Procedures of Istanbul Training and Research Hospital, dated 07.02.2020, and numbered 2170. The principles of the Declaration of Helsinki conducted the research.

Destekleyen Kurum

No person/organization is supporting this study financially.

Kaynakça

• Antoniou E, Orovou E, Iliadou M, et al. Factors Associated with the Type of Cesarean Section in Greece and Their Correlation with International Guidelines. Acta Inform Med. 2021;29(1):38-44.
• Kingdon C, Downe S, Betran AP. Women’s and communities’ views of targeted educational interven- tions to reduce unnecessary caesarean section: a qualitative evidence synthesis. Reprod Health. 2018 Jul; 15(1):130
• Ronsmans C, Graham WJ. Lancet Maternal Survival Series steering group. Maternal mortality: who, when, where, and why. Lancet 2006;368(9542):1189-200.
• Tsen LC, Chestnut DH, Polley LS, Wong CA, Tsen LC. Chestnut’s obstetric anesthesia: principles and practice. 4th ed. Philadelphia, PA: Elsevier Mosby; 2009.
• Cooper MG, McClure JH, Lewis G, Drife J. Why mothers die 2000-2002. Confidential enquiries into maternal and child health. Improving care for mothers, babies and children. London, LO: RCOG Press;2004.
• Ngan Kee WD. Confidential enquiries into maternal deaths: 50 years of closing the loop. Br J Anaesth 2005;94(4):413-6.
• Šklebar I, Bujas T, Habek D. Spinal anaesthesia-induced hypotension in obstetrics: prevention and therapy. Acta Clin Croat 2019;58(Suppl 1):90-5.
• Lindholm M, Hargraves JL, Ferguson WJ. et al. Professional Language Interpretation and Inpatient Length of Stay and Readmission Rates. J Gen Intern Med.2012; 27:1294–9.
• Committee opinion no 465: Antimicrobial prophylaxis for cesarean delivery: Timing of administration. Obstet Gynecol. 2010;116:791–2.
• Amelot A, Jacquot A, Terrier L-M et al. Chronic low back pain during COVID-19 lockdown: is there a paradox effect? Eur Spine J. 2022;31:167–175.
• Bucklin BA, Hawkins JL, Anderson JR, Ullrich FA. Obstetric anesthesia workforce survey: twenty-year update. Anesthesiology. 2005;103(3):645-53.
• Semiz A, Akpak YK, Yılanlıoğlu NC, et al. Prediction of intraoperative nausea and vomiting in caesarean delivery under regional anaesthesia. J Int Med Res. 2017;45(1):332-39.
• Balki M, Carvalho J. Intraoperative nausea and vomiting during cesarean section under regional anesthesia. International journal of obstetric anesthesia. 2005;14(3):230-41.
• Kinsella SM, Pirlet M, Mills MS, Tuckey JP, Thomas TA. Randomized study of intravenous fluid preload before epidural analgesia during labor. Br J Anaesth. 2000;85:311–3.
• Enkin M, Keirse MJNC, Neilson J, Crowther C, Duley L, Hodnett E. A Guide to Effective Care in Pregnancy and Childbirth. 3rd Edition. New York, NY: Oxford University Press; 2000.
• Sun S, Huang SQ. Role of pleth variability index for predicting hypotension after spinal anesthesia for cesarean section. Int J Obstet Anesth. 2014;23:324-9.
• Olang PR, Wamalwa DC, Omondi-Ogutu. Maternal hypotension and neonatal acidaemia during caeserean delivery under spinal anaesthesia. East Afr Med J. 2012;89:317-21.
• Pereira I, Grando M, Vianna P, et al. Retrospective analysis of risk factors and predictors of intraoperative complications in neuraxial blocks at Faculdade de Medicina de Botucatu-UNESP. Revista Brasileira de Anestesiologia. 2011;61(5):574-81.
• Karaca Ü, Özgunay ŞE, Ata F, Kılıçarslan N, Yılmaz C, Karasu D. Acil Sezaryenlarda Anestezi Deneyimlerimiz. JARSS. 2020; 28(4): 275-80.