الفهرس 
Introduction and Aim of The WorkOnly 14 pages are availabe for public view
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Abstract
Aim of the work
To compare general and spinal anesthesia as regards hemodynamic effects and fetal status in preeclamptic patients undergoing cesarean section.
Conclusion
Our results showed that spinal anesthesia produced blood pressure decreases more than general anesthesia but it was mild to moderate hypotension (10-28%) from the baseline measurements in almost patients and corrected by intravenous crystalloid fluids (1500-2000 ml) which were significantly more than the amount of fluids administrated to patients who received general anesthesia (1000-1500 ml) but no patient in the spinal group suffered from pulmonary edema. Also, patients in the spinal group received significantly more intravenous ephedrine in order to correct hypotension (20 ml. versus 5 ml. in the general group) without any serious complications that affects the mother or the fetus. The neonatal outcome as regards Apgar score and umbilical blood gases were similar in both groups except of neonates with Apgar score <7 at the 1st min. was significantly higher in the general anesthesia group as compared to this number in the spinal anesthesia group. So that our results support the use of spinal anesthesia in severely preeclamptic women put a large study should be performed on a large sample size to observe the complications of either anesthetic technique or these studies should be concerned with uterine blood flow and neonatal arterial blood gases.