Comparison of the maternal and neonatal effects of combined spinal-epidural block and spinal block for cesarean section

Uysallar, E.; Karaman, Semra; Günüşen, İlkben; Uyar, Meltem; Fırat, Vicdan

doi:10.5505/agri.2011.39206

“…Non-English language literature was translated. [21][22][23][24] Data extraction and management Data were independently extracted from included studies by two authors (MH, WHK), using a uniform data extraction form developed by the authors. Any discrepancies were resolved through a consensus discussion.…”

Section: Eligibility Criteria Information Sources and Search Strategymentioning

confidence: 99%

Comparison between general, spinal, epidural, and combined spinal-epidural anesthesia for cesarean delivery: a network meta-analysis

Kim

¹

,

Hur

²

,

Park

³

et al. 2019

International Journal of Obstetric Anesthesia

View full text Add to dashboard Cite

Background: This study is a network meta-analysis to compare maternal and fetal outcomes associated with four different anesthetic techniques for cesarean delivery. Methods: An arm-based, random-effects frequentist network meta-analysis was performed. A random effect model was selected considering deviance information criteria. Randomized trials reporting the following outcomes were included: Apgar score at 1-or 5-min; umbilical arterial and venous pH; umbilical arterial pH <7.2; and neonatal score at 2-4 hours. Loop-specific heterogeneity was evaluated by risk of odds ratio and s 2. Quality of evidence was assessed using the GRADE approach. Results: Data from 46 randomized trials including 3689 women contributed to the study. There were significant differences in Apgar score 6 at 1 min between spinal versus general anesthesia (odds ratio 0.27, 95% confidence interval [CI] 0.13 to 0.55: moderate quality evidence) and Apgar scores at 1-and 5-min, favoring spinal anesthesia. Umbilical venous pH associated with epidural anesthesia was significantly higher than that with general anesthesia (mean difference 0.010, 95% CI 0.001 to 0.020: moderate quality evidence) or spinal anesthesia. Spinal anesthesia was ranked best for Apgar score 6 at 1-min (SUCRA=89.8), Apgar score at 1-min (SUCRA=80.4) and 5-min (SUCRA=90.5). Epidural anesthesia was ranked highest for umbilical venous pH (SUCRA=87.4) and neonatal score (SUCRA=79.3). Conclusions: Spinal and epidural anesthesia were ranked high regarding Apgar scores and epidural anesthesia was ranked high regarding umbilical venous pH, but the results were based on small heterogeneous studies with high or unclear risks of bias.

show abstract

“…With general anesthesia, the mother is unconscious during the birth of baby with the anesthetic affecting her whole body [18]. These techniques have several features complicating to reach a conclusion about their superiority; generally, they are procedure of choice in a pregnant woman with obstetrical or general complications [19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

A bibliometric analysis of global scientific production on cesarean and anesthesia

Yaycı¹,

Deren²,

Yaycı³

2014

Cumhuriyet Med J

0

View full text Add to dashboard Cite

Aim. Bibliometric studies can be performed to evaluate the quantitative scientific performance on a specific topic via evaluating the accumulation of scientific data. Interpreting quantitative performance of a country with respect to bibliometric analyses is also an important way to assess the quality and quantity of that country's contribution to the distribution of medical data about a topic. In this study, we aimed to make a quantitative analysis of the scientific publications related to anesthesia and cesarean delivery; and also to investigate publications originating from Turkish institutions and authors, which are published in Expanded covered medical journals. Method. We retrospectively searched papers published in the field of anesthesia and cesarean delivery up to November 2012 by using the Web of Science software. Papers that were published in Science Citation Index Expanded covered journals were taken into account. Results. Web of Science based search through the database of SCI Expanded up to November 2012, revealed 4637 English scientific documents related to anesthesia and cesarean delivery. Among 4637 English publications, we found that 1262 (27.2%) from United States of America, followed by England (16.9%), Canada (6.5%), Germany (5.6%), France (4.2%), Australia (4.1%), and Turkey (3%). All other countries had a contribution smaller than 3%. Turkey had 458 (3%) publications and ranked 7 in this list. The international scientific repertory was relatively poor on our topic before 1991. On the other hand, we observed an international acceleration with respect to the publication number after 2000s. Publications from Turkey showed up only after 1996. Turkey's contribution to international repertory seems to speed up after 2002. The document types up to the date of the study (November 2012) classified by Web of Science in English SCI Expanded-based were mostly articles (71.8%) and letters (9.7%). The main source of publications from all over the world was the university hospitals. Conclusion. In conclusion, we observed that the quantity and quality of research in the field of anesthesia for cesarean delivery has increased rapidly in the last decade. Turkey made a remarkable contribution to this repertory especially during the last decade. Anesthesia for cesarean section as a unique procedure having a potential to be harmful for mother and fetus still needs several investigations to improve maternal and neonatal health.

show abstract

“…With general anesthesia, the mother is unconscious during the birth of baby with the anesthetic affecting her whole body [18]. These techniques have several features complicating to reach a conclusion about their superiority; generally, they are procedure of choice in a pregnant woman with obstetrical or general complications [19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

A bibliometric analysis of global scientific production on cesarean and anesthesia

Yaycı¹,

Deren²,

Yaycı³

2014

CMJ

0

View full text Add to dashboard Cite

Aim. Bibliometric studies can be performed to evaluate the quantitative scientific performance on a specific topic via evaluating the accumulation of scientific data. Interpreting quantitative performance of a country with respect to bibliometric analyses is also an important way to assess the quality and quantity of that country's contribution to the distribution of medical data about a topic. In this study, we aimed to make a quantitative analysis of the scientific publications related to anesthesia and cesarean delivery; and also to investigate publications originating from Turkish institutions and authors, which are published in Expanded covered medical journals. Method. We retrospectively searched papers published in the field of anesthesia and cesarean delivery up to November 2012 by using the Web of Science software. Papers that were published in Science Citation Index Expanded covered journals were taken into account. Results. Web of Science based search through the database of SCI Expanded up to November 2012, revealed 4637 English scientific documents related to anesthesia and cesarean delivery. Among 4637 English publications, we found that 1262 (27.2%) from United States of America, followed by England (16.9%), Canada (6.5%), Germany (5.6%), France (4.2%), Australia (4.1%), and Turkey (3%). All other countries had a contribution smaller than 3%. Turkey had 458 (3%) publications and ranked 7 in this list. The international scientific repertory was relatively poor on our topic before 1991. On the other hand, we observed an international acceleration with respect to the publication number after 2000s. Publications from Turkey showed up only after 1996. Turkey's contribution to international repertory seems to speed up after 2002. The document types up to the date of the study (November 2012) classified by Web of Science in English SCI Expanded-based were mostly articles (71.8%) and letters (9.7%). The main source of publications from all over the world was the university hospitals. Conclusion. In conclusion, we observed that the quantity and quality of research in the field of anesthesia for cesarean delivery has increased rapidly in the last decade. Turkey made a remarkable contribution to this repertory especially during the last decade. Anesthesia for cesarean section as a unique procedure having a potential to be harmful for mother and fetus still needs several investigations to improve maternal and neonatal health.

show abstract

Comparison of the maternal and neonatal effects of combined spinal-epidural block and spinal block for cesarean section

Cited by 7 publications

References 17 publications

Comparison between general, spinal, epidural, and combined spinal-epidural anesthesia for cesarean delivery: a network meta-analysis

Comparison between general, spinal, epidural, and combined spinal-epidural anesthesia for cesarean delivery: a network meta-analysis

A bibliometric analysis of global scientific production on cesarean and anesthesia

A bibliometric analysis of global scientific production on cesarean and anesthesia

Contact Info

Product

Resources

About