Ministry of Health bans spinal anesthesia for cesarean section when pregnant women have eclampsia

Pregnant women with placenta previa, eclampsia... if having cesarean section under spinal anesthesia have a high risk of cardiac arrest, multiple organ failure, and amniotic fluid embolism.

Ministry of HealthRequire all medical facilities to use endotracheal anesthesia instead of spinal anesthesia for pregnant women with congenital heart disease.Central or subcentral placenta previa, placental abruption, severe preeclampsia, eclampsia... The reason is that pregnant women with this condition haveHigh risk of complications such as amniotic embolism, cardiac arrest, blood clotting disorders, multiple organ failure if spinal anesthesia is used.

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Deputy Minister of Health Nguyen Viet Tien said that currently in the process of cesarean section in the world, most doctors use spinal anesthesia. In some special cases such as mothers with heart disease, blood pressure; risk of bleeding due to placenta previa, eclampsia, preeclampsia; impaired liver, kidney, lung function, etc., general anesthesia (also known as endotracheal anesthesia) is safer for the patient.

In Vietnam, this process has been carried out until now.However, by monitoring, supervising and assessing maternal deaths in many localities, the Ministry of Health found that in some cases "the doctor thought it was okay or the mother had eaten so she still had spinal anesthesia".

“In fact, out of 10 cases of spinal anesthesia, one case may have complications like this.hypotension, bleeding, even risk of cardiac arrest, emergency care is extremely difficult, high risk of deathTherefore, for the safety of pregnant women, the Ministry of Health requires general anesthesia in special cases," said Deputy Minister Tien.

To perform general anesthesia, the patient must fast. In some cases, if they have eaten, their stomach must be drained. This is much more complicated than performing spinal anesthesia.

According to VNE