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

From: 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

  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%)
  1. 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
  2. Fetal factors included diaphragmatic hernia, umbilical cord problems, prolapse of fetal extremity, and other fetal comorbidities