title: The Evaluation of Applied Anaesthetic Techniques for Caesarean in Parturients with Cardiac Diseases: Retrospective Analysis.
abstract: OBJECTIVE
  In this study, the effects of anaesthetic technique on mother and newborn were investigated in a retrospective analysis of parturients with cardiac diseases undergoing Caesarean section between 2006-2012.
  
  
  METHODS
  Our hospital's medical information system records were analyzed, and we found 107 parturients with cardiac disease and were undergoing Caesarean section, and their demographic data and obstetric, anaesthetic, and neonatal record forms were inspected.
  
  
  RESULTS
  Fifty-three (49.5%) pregnant women received general anaesthesia, and 54 (50.5%) received regional anaesthesia (34 spinal, 19 epidural and 1 CSE) (p=0.05). Week of pregnancy was lower for the group of general anaesthesia (p=0.007). Among cardiac parturients, valvular lesion rates were higher (75.7%). The relationship between existing cardiac disease and anaesthetic management was not significant (p=0.28). However, we determined that parturients with higher NYHA (New York Heart Association) classifications had higher general anaesthesia rates. (p=0.001). A rate of 39% of 74 NYHA I patients were undergoing general anaesthesia; this rate was 64% for NYHA II and 100% for NYHA III. The patients with cardiac surgery or medical treatment history had higher general anaesthesia rates (p=0.009). Although the general anaesthesia group newborn weights were lower (p=0.03), there was no difference between groups for APGAR scores. With regard to postoperative complications and hospital stay, the groups were similar.
  
  
  CONCLUSIONS
  We determined that general and epidural rates in parturients with cardiac diseases were similar, general anaesthesia was preferred for parturients who had higher NYHA classifications and surgical or medical treatment history. We considered that general anaesthesia criteria should reduce the anaesthesia management of parturients with cardiac disease; epidural or CSE anaesthesia applications should increase according to the patient's physical state, haemodynamic parameters, and obstetric indications.
authors.affiliation: Department of Anaesthesiology and Reanimation, Ege University Faculty of Medicine, İzmir, Turkey.
authors.forename: Özlem İlhan
authors.initials: Öİ
authors.lastname: Yıldırım
authors.affiliation: Department of Anaesthesiology and Reanimation, Ege University Faculty of Medicine, İzmir, Turkey.
authors.forename: İlkben
authors.initials: İ
authors.lastname: Günüşen
authors.affiliation: Department of Anaesthesiology and Reanimation, Ege University Faculty of Medicine, İzmir, Turkey.
authors.forename: Asuman
authors.initials: A
authors.lastname: Sargın
authors.affiliation: Department of Anaesthesiology and Reanimation, Ege University Faculty of Medicine, İzmir, Turkey.
authors.forename: Vicdan
authors.initials: V
authors.lastname: Fırat
authors.affiliation: Department of Anaesthesiology and Reanimation, Ege University Faculty of Medicine, İzmir, Turkey.
authors.forename: Semra
authors.initials: S
authors.lastname: Karaman
keywords: Cardiac disease; anaesthetic technique; caesarean section; pregnancy; retrospective analysis