Towards a new concept's applicability in the context of positive practice: The impact of route in Obstetric anesthesia.

Abstract

Patients and methods: We recruited 200 primigravida women with GA or SA who were scheduled for an elective lower segment caesarean section during the period from January 2021 till January 2023 in Alzhraa, Alhussein university hospital, Minia and Fayoum university hospital and Saudi German hospital, Saudi Arabia. The patient made the decision on the kind of anaesthetic. The self-administered EuroQoL-5 Dimensions-3 Levels (EQ-5D-3L) questionnaire was used by participants to assess their current state of health at four different intervals: six hours prior to a caesarean delivery, 24 hours following a caesarean delivery, one week following a caesarean delivery, and one month following a caesarean delivery. Patients also graded their health using the EQ visual analogue scale (EQ-VAS), which goes from 0 (the worst possible health condition) to 10 (the best possible health status).

Results: A greater number of women who underwent spinal anaesthesia said that following the operation, their "mobility," "usual activities," and "pain/discomfort" were "no problem". Recurring measurement analysis showed that although the two groups' EQ-VAS scores were initially identical, they both declined over time with different slopes, producing differing values 24 hours after CS. After that, both groups' scores increased with time, being rather similar one month after CS.

Conclusion: Spinal anaesthesia is a better than general anesthesia for caesarean sections because, apart from avoiding the risk of a failed intubation and general anaesthesia, it also provides new mothers with mobility, effective pain relief, and quick access to their daily activities.