Comparison of the Haematological and Anaesthetic Complications of Multiple Pregnancy Cases

• Main Authors: Berna Şermin Kılıç, Nil Atakul, Ayşe Gül Ferlengez
• Format: Article
• Language: English
• Published: Galenos Yayinevi 2020-11-01
• Series: İstanbul Medical Journal
• Subjects: multiple pregnancy; spinal anaesthesia; hypotension; bradycardia; haematocrit
• Online Access: http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/comparison-of-the-haematological-and-anaesthetic-c/41820

Introduction:The frequency of caesarean delivery is increasing worldwide. Nowadays, multiple pregnancy rates are increasing significantly due to the prevalence of assisted reproductive techniques. The purpose of this retrospective study is to compare the haematological and anaesthesia complications of multiple and singleton pregnancies and to increase awareness among anaesthesiologists and obstetricians of complications that may occur during and after a caesarean section in multiple pregnancies.Methods:Our study was carried out by retrospectively searching the anaesthesia forms and files of the American Society of Anesthesiology 1-2 group of patients, who underwent caesarean sections between January 2019 and January 2020 at the University of Health Sciences Turkey, İstanbul Training and Research Hospital Gynecology and Obstetrics Clinic. The cases were then divided into multiple (n=50) and singleton (n=63) pregnancies, and the haematological and anaesthesia complications were compared between the two groups.Results:No statistically significant difference was found between the age, pre- and postoperative haematocrit (Hct) values, and Hct differences between singleton and twin pregnancies (p>0.05). The rate of bradycardia in twin pregnancies was found to be significantly lower than that in singleton pregnancies (p<0.05). There was no statistically significant difference in nausea-vomiting and hypotension rates between twin and singleton pregnancies (p=0.26).Conclusion:Knowledge about complications associated with anaesthesia in patients with multiple pregnancies delivering by caesarean section in the world and our country is still insufficient. Based on our data, we recommend that anaesthesiologists and obstetricians work as a team and prepare for the operation in a planned approach, considering the hemodynamic changes occurring owing to twin pregnancies.