A retrospective review of 10-year trends in general anesthesia for cesarean delivery at a university hospital: the impact of a newly launched team on obstetric anesthesia practice

Table 2 Indications for elective and emergent cesarean deliveries performed under general anesthesia

	2010	2011	2012	2013	2014	2015	2016	2017	2018	2019
Total cases	24	36	34	29	23	18	13	12	12	7
Abnormal placentation	15 (62.5%)	17 (47.2%)	19 (55.9%)	16 (55.2%)	18 (78.3%)	8 (44.4%)	5 (38.5%)	4 (33.3%)	4 (33.3%)	2 (28.6%)
Non-reassuring fetal status	2 (8.3%)	1 (2.8%)	1 (2.9%)	3 (10.3%)	2 (8.7%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)
Placental abruption	2 (8.3%)	4 (11.1%)	2 (5.9%)	5 (17.2%)	0 (0.0%)	3 (16.7%)	1 (7.7%)	1 (8.3%)	0 (0.0%)	0 (0.0%)
Threatening uterine rupture	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	1 (5.6%)	0 (0.0%)	1 (8.3%)	1 (8.3%)	0 (0.0%)
Maternal factors	4 (16.7%)	10 (27.8%)	11 (32.4%)	3 (10.3%)	2 (8.7%)	2 (11.1%)	7 (53.8%)	5 (41.7%)	4 (33.3%)	3 (42.9%)
Fetal factors	1 (4.2%)	3 (8.3%)	1 (2.9%)	2 (7.0%)	1 (4.3%)	1 (5.6%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	1 (14.3%)
Failed spinal	0 (0.0%)	1 (2.8%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	2 (11.1%)	0 (0.0%)	1 (8.3%)	3 (25.0%)	1 (14.3%)
Patient’s request	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	1 (5.6%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)

Maternal factors included threatened premature labor, failure of labor process, hypertensive disorders of pregnancy (HDP), syndrome of hemolysis, elevated liver enzymes, and low platelets (HELLP), impaired placental function, intrauterine infection, and other maternal comorbidities
Fetal factors included diaphragmatic hernia, umbilical cord problems, prolapse of fetal extremity, and other fetal comorbidities

ISSN: 1472-6963