Transient Methemoglobinemia in three Neonates due to Maternal Pudendal Anesthesia

Sara Erol1, Zehra Arslan1, Isemi Han Celik1

  • 1Department of Neonatal Intensive Care Unit Etlik Zubeyde Hanim Women's Health Education and Research Hospital Ankara Turkey.

Insights

Transient neonatal methemoglobinemia can occur after maternal use of prilocaine anesthesia. This condition impairs oxygen delivery, potentially causing cellular hypoxia. Prompt recognition and management are crucial for infant well-being.

Area of Science:

  • Anesthesiology
  • Neonatology
  • Hematology

Background:

  • Methemoglobin (MetHb) is a hemoglobin form with ferric iron, impairing oxygen transport.
  • Elevated MetHb levels can lead to tissue hypoxia and cellular damage.
  • Methemoglobinemia is a rare but serious complication associated with local anesthetics.