[Anesthesia for cesarean section: a retrospective analysis at the Center for Perinatal and Neonatal Medicine in Jichi Medical University Hospital]

Abstract

Background: To evaluate obstetric and anesthetic problems relating to cesarean delivery, we investigated parturients who had undergone cesarean section at the Center for Perinatal and Neonatal Medicine in Jichi Medical University Hospital.

Methods: Obstetric and anesthetic data were gathered from January 2007 to December 2007 for all cesarean sections.

Results: In all, 607 parturients received cesarean section during the period. Of the 607 cesarean deliveries, 308 were performed in elective condition, and 299 were done in emergency situation. Of the 299 emergencies, 125 underwent cesarean section at nights and/or holidays. Population risk included maternal age (age >35 year, 33.1%), preterm birth (31.5%), and obesity (BMI >35 kg x m(-2), 3.3%). Complicated pregnancy included multifetal pregnancies (15.2%) and placenta previa (12.5%).

Conclusions: At the center for perinatal and neonatal medicine, population risk is increasing because of increases in maternal age, obesity, placenta previa, and rates of multifetal pregnancies.