The Role of General Anesthesia in Case of Hypertension Disorder (Pre-Eclampsia, Eclampsia) Compared with Uncomplicated Pregnancy for Cesarean Section at Tarhona and Msallata Hospitals

Abstract

This pilot case-control study assessed maternal and fetal outcomes following cesarean section under general anesthesia, comparing 30 women with hypertensive disorders of pregnancy (pre-eclampsia/eclampsia) to 30 women with uncomplicated pregnancies at Tarhona and Msallata hospitals between January and March 2023. Participants underwent clinical examination and history taking, with data analyzed using SPSS. Results indicated statistically significant differences in proteinuria (p = 0.000), blood pressure (p = 0.000), and edema (p = 0.000) between the two groups. However, no statistically significant difference was observed in maternal weight (p = 0.457). The findings suggest that while hypertensive disorders are associated with greater hemodynamic instability during cesarean delivery, general anesthesia remains effective for these patients, yielding positive outcomes for both mother and infant. Future research with larger sample sizes is recommended to further evaluate long-term effectiveness and compare general anesthesia with alternative techniques in this specific patient population.