Anaesthetic management of obstetric patients with Chiari type I malformation: a retrospective case series and literature review
Authors' conclusion
We conclude there is no of evidence to avoid any one approach to labour analgesia, delivery and anaesthesia.
Study context
- Population
- Obstetric patients with Chiari type I malformation103 published, 34 local
- Participants
- 137 patients
- Outcome
- Mode of delivery, neuraxial blocks and neurological outcome
Methodological detailssystematic literature search, single-centre database 2009–2022
- Systematic literature search
- Single-centre database 2009–2022
Main finding
As reported in the abstract
- Spontaneous vaginal deliveries
- 84
- Caesarean deliveries
- 52
- Delivery by unknown modality
- 1
- Neuraxial blocks performed (about half epidurals for labour analgesia)
- 60
- New or worsened symptoms after delivery (relation to Chiari unclear)
- 6
- Cases with brainstem herniation or severe symptoms
- 0
Observational data: associations, not effects.
Safety
Neurological symptoms after delivery
- New or worsened symptoms after delivery; unclear whether related to Chiari malformation
- 6
- Brainstem herniation or severe symptoms
- 0
Original publication
Anaesthetic management of obstetric patients with Chiari type I malformation: a retrospective case series and literature review. Int J Obstet Anesth. Published 17 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →