Retrospective evaluation of anesthetic techniques in pregnant women with renal transplantation

Asuman SARGIN; Semra KARAMAN; Şeyda Ceylan ARI; Ali AKDEMİR; İsmet HORTU

Makale detayları

Retrospective evaluation of anesthetic techniques in pregnant women with renal transplantation

Yazarlar:

Asuman SARGIN | Semra KARAMAN | Şeyda Ceylan ARI | Ali AKDEMİR | İsmet HORTU

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 6, pp.1736-1741

Belge Tipi:

Makale

Yayın Tarihi:

11/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000749792

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim: The  aim  of  this  study  was  to  evaluate  anesthesia  management  in  cesarean  operation  of  pregnant  women  who  underwent renal transplantation and the effects on postoperative renal function, retrospectively.Materials  and  methods:  After  obtaining  the  approval  of  the  ethics  committee  of  our  hospital,  the  records  of  pregnant  women  who  underwent kidney transplantation and cesarean section between 2007 and 2017 were retrospectively analyzed. The patients' demographic data,  concomitant  disease  history,  the  treatment  received,  and  type  of  anesthesia  were  retrospectively  evaluated  and  recorded  in  the  follow-up form.Results: It was found that a total of 47 women who underwent renal transplantation had 47 live births by cesarean section. The mean age  of  the  pregnant  women  was  30  ±  5.34  years.  The  mean  time  between  renal  transplantation  and  conception  was  95.34  ±  55.02  months.  It  was  found  that  14  (29%)  of  a  total  of  47  patients  had  their  first  pregnancy.  The  number  of  patients  with  a  gravidity  of  4  and above was 9 (19%). A total of 21 (44.7%) pregnant women had spontaneous miscarriage. Five (10.6%) patients were treated with curettage for therapeutic purposes. Twenty-two (46%) of the patients whose immunosuppressive therapy was continuing were treated with azathioprine, tacrolimus, and prednisolone. The mean gestational age of delivery was 36.5 ± 1.59 weeks. The rate of prepregnancy hypertension diagnosis was 25.5% (n = 12), while the rate of developing gestational hypertension was 21.3% (n = 10). Spinal anesthesia was administered to 42 (91%) of 47 patients who underwent cesarean section. In the preoperative period, the mean value of serum blood urea nitrogen was 62.88 ± 41.97 mg/dL and the mean serum creatinine level was 3.21 ± 6.17 mg/dL. In the postoperative period, these values were 44.4 ± 29.9 mg/dL and 1.91 ± 1.63 mg/dL, respectively. When the pre- and postoperative serum urea and creatinine levels were compared, they were found to be lower in the postoperative period. However, there was no statistically significant difference (P > 0.05). The mean weight of the newborns was determined as 2707.3 ± 501.5 g. While the number of newborns with a low birth weight (.

Makale detayları

Retrospective evaluation of anesthetic techniques in pregnant women with renal transplantation

Yazarlar: Asuman SARGIN | Semra KARAMAN | Şeyda Ceylan ARI | Ali AKDEMİR | İsmet HORTU

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2019 Vol.49 Issue 6, pp.1736-1741

Belge Tipi: Makale

Yayın Tarihi: 11/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000749792

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Asuman SARGIN | Semra KARAMAN | Şeyda Ceylan ARI | Ali AKDEMİR | İsmet HORTU

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 6, pp.1736-1741

Belge Tipi:

Makale

Yayın Tarihi:

11/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000749792

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144