MATERNAL AND NEONATAL OUTCOME ACCORDING TO THE TYPE OF ANESTHESIA DURING CAESAREAN SECTION.

Abstract

Background: The rate of caesarean section has been increased globally all over the world and the type of anesthesia can affect both maternal and fetal health. For years the general anesthesia has been used as a method of choice during caesarean section with many complications especially in emergency caesarean section, were as spinal anesthesia, a type of regional anesthesia, that has been tried in the last two decades may provide anesthesia without these complication.

Methods: A prospective randomized cohort study, performed in women health private hospital between Sep. 2023-Sep. 2024. for 200 term pregnant women attending for elective cesarean section, 100 women undergoes spinal anesthesia and 100 women undergoes general anesthesia. Those women with any risk factor that affect study parameters as preterm baby or placenta previa were excluded from the study.

Results: Data analysis shows non-significant difference in age and parity among the groups with no significant differences in systolic and diastolic blood pressure and pulse rate after operation the mean volume of intraoperative blood loss and the mean decline in hemoglobin is higher in general anesthesia group.

Conclusion: Spinal anesthesia provides better outcome regarding lower intraoperative blood loss, less postoperative pain, higher fetal Apgar score at 1st minutes, with similar haemodynamic stability. It is a better option for cesarean section anesthesia reducing morbidity and mortality from the increasingly performed operation.