Dr Maher Sajawal Sultan Sumra, Dr Ansab Mahmood, Dr Hasnain Abbas
Aim and Methods: In this prospective cohort study, we compared the incidence and severity of spinal anesthesia (SA) hypotension in subjects with pre-eclampsia (n = 25) with healthy deliveries (n = 25) undergoing caesarean section. After an appropriate preload, SA was administered with 0.75% hyperbaric bupivacaine. Blood pressure (BP) was recorded prior to SA (Basal BP), then after SA, every 2 minutes for 30 minutes, and then every 5 minutes until surgery was completed. Place and Duration: In the Anesthesiology and Obstetric and Gynecology department of Bahawal Victoria Hospital, Bahawalpur for one-year duration from May 2019 to May 2020. Results and Conclusion: Patients with pre-eclampsia had less clinically significant hypotension which was less severe and required less ephedrine. The risk of developing hypotension was significantly lower in patients with pre-eclampsia than in healthy patients. Spinal anesthesia appeared to be a useful and safe alternative to epidural anesthesia in patients with pre-eclampsia when a large patient presented for caesarean section. Keywords: pre-eclampsia, childbirth, spinal anesthesia.