Journal of AdvancedMedical and Dental Sciences Research

Background: Spinal anaesthesia is the method of choice for caesarean section, especially in case of elective procedures. The present study was conducted to assess spinal anaesthesia induced hypotension in elective caesarean section. Materials & Methods: 128 full-term pregnant women with American Society of Anaesthesiologists’ (ASA) physical status grade I or II who were scheduled to undergo elective CS under spinal anesthesia (SA) were recorded. Parameters such as gravida, ASA grade, live births, number of previous NVD, CS, history of hypertension, hypothyroidism, gravida etc. was recorded. Results: Out of 128 females, 18 had no hypotension, 30 had mild, 40 had moderate and 30 had severe hypotension. BMI >30 was seen in 7, 10 and 6 in mild, moderate and severe hypotension. ASA grade III was seen in 8, 12 and 10 in mild, moderate and severe respectively. Gravida >4 was seen in 0, 2 and 8 in mild, moderate and severe respectively. History of stillbirth was seen in 16, 22 and 10 mild, moderate and severe respectively. Previous NVD >2 was seen in 8, 12 and 10 in mild, moderate and severe respectively. Previous CS >2 was seen in 10, 20 and 0 in mild, moderate and severe respectively. The difference was significant (P< 0.05). Conclusion: Risk factors for spinal anaesthesia induced hypotension during CS could be age, BMI, weight gain, gravidity, history of hypotension.