Featured Post

on
0

Why Blood Pressure Drops in Somali Mothers During Childbirth

on



1. Background

A recent medical study has shown that Somali women undergoing childbirth with spinal anesthesia (where an anesthetic is injected into the lower back) are at risk of low blood pressure (hypotension) during cesarean sections.

The research focused on 320 women who had cesarean deliveries at the Recep Tayyip Erdoğan Hospital in Mogadishu between May and July 2024. Results showed that 79% of these women experienced significant drops in blood pressure during the procedure.

2. Symptoms and Risks

When blood pressure drops during childbirth under spinal anesthesia, women may experience:

  • Dizziness

  • Nausea and vomiting

  • Fainting

In severe cases, low blood pressure can endanger both the mother and the baby.

3. Why Spinal Anesthesia Causes Blood Pressure Drops

Spinal anesthesia is commonly used in Somalia because it is considered safer and cheaper than general anesthesia. However, it carries risks:

  • It blocks nerve signals in the lower body, causing blood vessels to dilate.

  • This reduces blood flow to vital organs, lowering blood pressure.

Dr. Cabdullaahi Siciid Xaashi of Recep Tayyip Erdoğan Hospital explains:

“When spinal anesthesia is administered, blood pressure can drop due to both the technique itself and the individual condition of the pregnant woman. Some variation in blood pressure during cesarean delivery is expected, but it can be managed.”

4. Prevention and Management

Medical professionals can take several steps to prevent and manage low blood pressure during spinal anesthesia:

  • Positioning the mother slightly on her left side during surgery to improve blood flow.

  • Ensuring the mother is well-hydrated before surgery.

  • Continuous monitoring by a trained healthcare professional so that any sudden changes in blood pressure can be addressed immediately.

5. Broader Context

The study highlights the urgent need to improve maternal care in Somalia:

  • Strengthening hospital protocols for cesarean deliveries.

  • Training staff to detect and manage complications quickly.

  • Ensuring mothers are properly screened and stabilized before surgery.

Globally, the World Health Organization (WHO) reports that cesarean deliveries are increasing. By 2030, about 30% of births in some countries may be cesarean, with the highest numbers in middle- and low-income countries.

6. Related Risks in Africa

High blood pressure (hypertension) is also a concern in Africa. WHO studies show:

  • 46% of Africans have high blood pressure, which can complicate pregnancies.

  • Poor management of both high and low blood pressure during pregnancy increases risks of maternal and neonatal deaths.

7. Key Takeaways

  • Low blood pressure during spinal anesthesia is common but manageable.

  • Proper positioning, hydration, and continuous monitoring are essential.

  • Somali hospitals need better resources and training to protect mothers and babies during cesarean deliveries.

Comments

Post a Comment