Successful Anesthetic Management in Cesarean Section for Pregnant Women With Covid 19

Abstract

In India the management of a COVID-19 is more challenging among pregnant women, as the virus is extremely contagious and can cause life threatening severe acute respiratory tract infection in 5% patients and can spread to other mothers and health care personnel.1,2 There is increases risk of obstetric complication (Preterm labour, Premature rupture of membranes, Preeclampsia, caesarean section) among parturient covid 19 patients.3,4 It is noteworthy that the increase in the body temperature associated with COVID-19 (i.e., hyper-thermia) may lead to congenital anomalies if it occurs in the first trimester.5 This highlight the importance to establish covid 19 hospitals and operating rooms for parturient patients. In addition, there is no verified protocol for the anaesthetic aspect of providing care for pregnant women undergoing C-section. As per literature review, central neuraxial blockade is the preferred technique to reduce the aerosol generation in such circumstances.1,2,6 In this article we highlight the anaesthetic aspect of C-section performed for a pregnant women diagnosed with covid 19.