Maternal and fetal outcomes in women undergoing caesarean section under general and spinal anesthesia
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 7
Abstract
<strong>Background: </strong>Both spinal and general anaesthesia used for caesarean section have certain advantages and disadvantages and there is no method which is completely ideal. The most important factors for choice of anaesthesia are; pregnant systemic problems and wishes, the urgency of the operation, and the surgeon and the anesthetists experience. <strong>Aim of the Work: </strong>These studies aimed at comparing maternal and fetal outcomes in women undergoing elective caesarean section and have spinal anaesthesia with those having general anaesthesia. <strong>Subjects and Methods: </strong>This study was carried out at Ain Shams University Maternity Hospital during the period from December 2017 to August 2018 after approval of the hospital health ethical committee. It included 186 patients who had C.S and were subdivided into 2 groups according to a randomization scale. On the day of the operation, each randomly received a closed opaque envelope for the selection of the procedure (spinal versus general). <strong>Results: </strong>We noted that the mean haemoglobin and haematocrit values at the 24th hour were higher in the spinal anaesthesia group. The estimated blood loss volume was significantly higher in the general anaesthesia group. The median apgar score at the first and the fifth minutes were significantly higher, and the time that elapsed until the first requirement for analgesia was significantly longer in the spinal anaesthesia group. <strong>Conclusion and Recommendations: </strong>General anaesthesia could be thought the quickest anaesthesia method in an emergency since it avoids the possibility of a failed regional block. Meanwhile, it is associated with higher possibility of blood loss and low Apgar score. Thus, using spinal anaesthesia for elective caesarean section is recommended provided that adequate maternal hydration is established and sparing general anaesthesia for emergency caesarean sections or whenever spinal anaesthesia is contraindicated (e.g. coagulopathy, sever thrombocytopenia, anticoagulation or sever degree of malformation of spine).
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584252
- DOI 10.12816/ejhm.2018.10165
- Views 91
- Downloads 0
Trends and Determinants of Contraceptive Use among Young (15-24 Year) Married Women: A Secondary Analysis Based on the 2008 and 2014 Egypt Demographic and Health Surveys
Background: young females in Egypt still face a number of challenges regarding their reproductive health (RH) despite efforts to enhance it. Importance of young women‟s reproductive choices arises fr...
The Impact of Antithyroid Antibodies on Pregnancy Outcome following Intracytoplasmic Sperm Injection (ICSI) cycle
<strong>Background:</strong> the presence of antithyroid antibodies (ATA) are frequently encountered in general population and approximately 1/5 of childbearing age women are positive for the antithyroid peroxidase antib...
Pneumonia in Rheumatoid Arthritis Patients
The purpose of this study was to compare the clinical characteristics of pneumocystis pneumonia (PCP) between patients with rheumatoid arthritis (RA) being treated with biologics and those being treated without biologics...
The Prevalence of Rhinitis and Its Association with Smoking in A Nationwide Survey of Saudi Adults, 2017
Background: Rhinitis is a common worldwide disease affecting more than 20% of people in many western and developing countries as well.
Multi Drug Resistant Bacteria and Its Antibiotic Susceptibility at Percutanous Endoscopic Gastrostomy (PEG) Tube Site of Long Term Care Facility Elderly Residents
Background: Percutaneous endoscopic gastrostomy (PEG) is the preferred route of feeding and nutritional support in patients with a functional gastrointestinal system who require long-term enteral nutrition. The objective...