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Epidural compared with general anaesthesia for caesarean delivery in conscious women with eclampsia

  1. J. Moodley1,
  2. G. Jjuuko1,
  3. C. Rout2

Article first published online: 22 DEC 2003

DOI: 10.1111/j.1471-0528.2001.00097.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 108, Issue 4, pages 378–382, April 2001

Additional Information

How to Cite

Moodley, J., Jjuuko, G. and Rout, C. (2001), Epidural compared with general anaesthesia for caesarean delivery in conscious women with eclampsia. BJOG: An International Journal of Obstetrics & Gynaecology, 108: 378–382. doi: 10.1111/j.1471-0528.2001.00097.x

Author Information

  1. 1

    Department of Obstetrics and Gynaecology and MRC/UN Pregnancy Hypertension Research Unit, Nelson R Mandela School of Medicine, University of Natal, South Africa

  2. 2

    Department of Anaesthetics, Nelson R Mandela School of Medicine, University of Natal, South Africa

**Professor J. Moodley, Department of Obstetrics and Gynaecology, University of Natal Medical School, Private Bag 7, Congella, 4013, South Africa

Publication History

  1. Issue published online: 22 DEC 2003
  2. Article first published online: 22 DEC 2003
  3. Accepted 18 December 2000

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Objective To compare retrospectively the outcome of caesarean section under epidural anaesthesia with that of general anaesthesia in “stable” women with eclampsia.

Design Retrospective review.

Method Over the five–year study period, there were 533 women with eclampsia and of these 66 women (12.4%), fulfilled the criteria of being ‘stable’. Of the 66 women, 37 received epidural, 27 general, and 2 spinal anaesthesia.

Results There were no major complications with either general or epidural anaesthesia. Epidural anaesthesia was associated with higher one–minute Apgar scores.

Conclusion This study indicates that both maternal and neonatal outcomes are not affected adversely by the use of epidural anaesthesia in selected cases of eclampsia.

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