Title |
The effects of spinal anaesthesia for elective caesarean section on uterine and umbilical arterial pulsatility indexes in normotensive and chronic hypertensive pregnant women: a prospective, longitudinal study
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Published in |
BMC Pregnancy and Childbirth, August 2014
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DOI | 10.1186/1471-2393-14-291 |
Pubmed ID | |
Authors |
Luís Guedes-Martins, Helena Graça, Joaquim P Saraiva, Luísa Guedes, Rita Gaio, Ana S Cerdeira, Filipe Macedo, Henrique Almeida |
Abstract |
Despite the known effects of neuraxial blockade on major vessel function and the rapid decrease in uterine vascular impedance, it is unclear how the blockade affects the utero-placental circulation in the near-term. We hypothesize that among women with chronic hypertension, a loss of sympathetic tonus consequent to spinal block may cause significant changes in the utero-placental haemodynamics than the changes typical in normal pregnant women. Therefore, the main study objective was to analyse the effect of spinal anaesthesia for caesarean section on uterine and umbilical arterial impedance in pregnant women at term diagnosed with stage-1 chronic hypertension. |
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