Methods | Regional anaesthesia versus general anaesthesia |
Participants | 70 preeclamptic pregnant women undergoing emergent caesarean section for non‐reassuring fetal heart rate (< 100 or > 150 bpm; absent variability (< five bpm) of 60 minutes' duration; repetitive decelerations) Magnesium sulfate 4 G IV followed by 1 G/h IV |
Interventions |
Spinal anaesthesia (n = 35): 1.8 mL of hyperbaric 0.5% bupivacaine with 10 mcg of fentanyl at L3‐L4 General anaesthesia (n = 35): thiopental 5 mg/kg, nitrous oxide, isoflurane and succinylcholine drip. intravenous magnesium sulfate for control of the pressor response to tracheal intubation |
Outcomes | Mortality (fetal) |
Notes | Fetal loss is included in this overview. There was an undiagnosed abruptio placentae, and haemodynamic reaction to laryngoscopy may aggravate this condition |