Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Dec 24;10(1):23.
doi: 10.3390/healthcare10010023.

Perioperative Outcomes in COVID-19 Obstetric Patients Undergoing Spinal Anesthesia for Cesarean Section: A Prospective Observational Study

Omar Ababneh  1 , Mustafa Alrabayah  1 , Ahmad I El-Share'  1 , Isam Bsisu  1 , Yara Bahar  1 , Banan Dabousi  1 , Alia Sandoqa  1 , Dania AlWreikat  1 , Ayman Qatawneh  2
Affiliations

Perioperative Outcomes in COVID-19 Obstetric Patients Undergoing Spinal Anesthesia for Cesarean Section: A Prospective Observational Study

Omar Ababneh et al. Healthcare (Basel). .

Abstract

Coronavirus disease 2019 (COVID-19) adds more challenges to the perioperative management of parturients. The aim of this study is to examine perioperative adverse events and hemodynamic stability among COVID-19 positive parturients undergoing spinal anesthesia. This prospective observational investigation was conducted at a tertiary teaching hospital in Jordan between January and June 2021, during which 31 COVID-19 positive parturients were identified. Each COVID-19 positive parturient was matched with a COVID-19 negative parturient who received anesthesia under similar operating conditions as a control group. Of the 31 COVID-19 patients, 22 (71%) were otherwise medically free, 8 (25.8%) were emergency cesarean sections. The sensory level of spinal block after 10 min was T8 (T6-T10) among COVID-19 positive group, compared to T4 (T4-T6) among control group (p = 0.001). There were no significant differences in heart rate, SBP, DBP, and MAP intraoperatively (p > 0.05). Twelve (36.4%) neonates born to COVID-19 positive patients were admitted to NICU, compared to four (11.8%) among control group (p = 0.018). There was no statistically significant difference in postoperative complications. In conclusion, spinal anesthesia is considered a safe anesthetic technique in COVID-19 parturients, and therefore it is the anesthetic method of choice for cesarean deliveries among COVID-19 patients.

Keywords: COVID-19; cesarean section; neuraxial anesthesia; pregnancy.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Vital signs in COVID-19 positive patients. The x-axis represents the timing of vital signs obtainment. Intraoperatively, vital signs were documented every 5 min until transfer to the PACU. The y-axis represents the value of vital signs, measured in beats per minute (BPM) for heart rate, mmHg for systolic, diastolic, and mean blood pressure. PACU: post anesthesia care unit. Vital signs are presented along with comparison with COVID-19 negative group in Supplementary Table S1.
Figure 2
Figure 2
Vital signs in COVID-19 negative patients. The x-axis represents the timing of vital signs obtainment. Intraoperatively, vital signs were documented every 5 min until transfer to the PACU. The y-axis represents the value of vital signs, measured in beats per minute (BPM) for heart rate, mmHg for systolic, diastolic, and mean blood pressure. PACU: post anesthesia care unit. Vital signs are presented along with comparison with COVID-19 positive group in Supplementary Table S1.
Figure 3
Figure 3
A comparison in oxygen (O2) saturation between COVID-19 positive and negative patients. The x-axis represents the timing of O2 saturation measurement. Intraoperatively, O2 saturation was documented every 5 min until transfer to the PACU. The y-axis represents the O2 saturation in percentage (%). PACU: post anesthesia care unit. Vital signs are presented along with comparison with COVID-19 positive group in Supplementary Table S1.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Weiniger C.F. What’s new in obstetric anesthesia in 2018? Int. J. Obstet. Anesth. 2020;42:99–108. doi: 10.1016/j.ijoa.2020.03.002. - DOI - PubMed
    1. Zambrano L.D., Ellington S., Strid P., Galang R.R., Oduyebo T., Tong V.T., Woodworth K.R., Nahabedian J.F., III, Azziz-Baumgartner E., Gilboa S.M., et al. Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status—United States, 22 January–3 October 2020. MMWR Morb. Mortal. Wkly. Rep. 2020;69:1641–1647. doi: 10.15585/mmwr.mm6944e3. - DOI - PMC - PubMed
    1. Villar J., Ariff S., Gunier R.B., Thiruvengadam R., Rauch S., Kholin A., Roggero P., Prefumo F., Do Vale M.S., Cardona-Perez J.A., et al. Maternal and Neonatal Morbidity and Mortality Among Pregnant Women with and without COVID-19 Infection: The INTERCOVID Multinational Cohort Study. JAMA Pediatr. 2021;175:817–826. doi: 10.1001/jamapediatrics.2021.1050. - DOI - PMC - PubMed
    1. Chen R., Zhang Y., Huang L., Cheng B.-H., Xia Z.-Y., Meng Q.-T. Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: A case series of 17 patients. Can. J. Anaesth. 2020;67:655–663. doi: 10.1007/s12630-020-01630-7. - DOI - PMC - PubMed
    1. Birnbach D.J., Bateman B.T. Obstetric Anesthesia: Leading the Way in Patient Safety. Obstet. Gynecol. Clin. N. Am. 2019;46:329–337. doi: 10.1016/j.ogc.2019.01.015. - DOI - PubMed