Does the mode of anesthesia affect the feto-maternal outcome in category-1 caesarean section? A prospective non-randomized study comparing spinal versus general anesthesia

Amin, Samar Rafik; Saleh, Ramy M.; Dabour, Yehya Shahin

doi:10.1080/11101849.2021.1910181

Cited by 1 publication

(3 citation statements)

References 15 publications

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“…Moreover, the proportions of newborns delivered under general anesthesia who required mask ventilation, intubation and NICU admissions were signi cantly larger than those delivered under spinal anesthesia category one cesarean sections. This nding is consistent with studies performed in Korea, Egypt, Australia and the University of Messina, Italy (8, 9,11,43). Another study performed in Australia also supports this nding in which they showed that there were larger proportions of newborns who required bag mask ventilation, NICU admission, and intubation (27.4%, 29.6%, and 4.9% and 13.5%, 14.6%, and 4.5%, respectively) after delivery under general anesthesia than after spinal anesthesia (9).…”

Section: Discussionsupporting

confidence: 92%

“…Intraoperative and postoperative maternal vital signs were signi cantly higher in the GA group than in the SA group. This is supported by the study performed in Korea and Benha University (11,43).…”

Section: Discussionmentioning

confidence: 68%

“…The result is found to agree with the study done in Egypt. They found the rate of fetal bradycardia indication for GA and SA to be 36.6% and 27.3%, respectively (43). The possible explanation for this could be due to similarities in the study participants.…”

Section: Discussionmentioning

confidence: 93%

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Feto-Maternal Outcome of General and Spinal Anesthesia Among Pregnant Mothers Who Undergo Category One Cesarean Sections –A Comparative Cross-Sectional Study at Jimma University Medical Center, 2022.

Bedane,

Belay,

Abate

et al. 2023

Preprint

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Background Category one cesarean section is performed in the most urgent conditions for the fetus or mother and sometimes in both cases. Currently, the practice of anesthesia for emergency cesarean sections is becoming spinal over general anesthesia due to adverse feto-maternal outcomes. The aim of the study was to compare feto-maternal outcomes under general and spinal anesthesia during category one cesarean deliveries at Jimma University Medical Center. Methods A comparative cross-sectional study was conducted at Jimma University Medical Center from August 20 to November 01, 2022. The study included 72 category one pregnant mothers. Sociodemographic, indication for category one cesarean delivery, DDI, perioperative maternal vital signs, intraoperative blood loss and need for transfusion of blood and ICU admissions were noted to compare maternal outcomes under general and spinal anesthesia. On the other hand, for comparison of newborn outcomes, variables such as APGAR scores at one and five minutes, need for bag mask ventilation, intubation and NICU admissions were used. Data were entered into epiData 4.6 software and exported to IBM SPSS Statistics 26 for analysis. Independent sample Student’s t test was used for comparison of normally distributed continuous data, and the Mann-Whitney U test was used for non-normally distributed data. On the other hand, for comparison of categorical data, chi-square and Fisher’s exact tests were used. A p value less than 0.05 was used to indicate a statistically significant difference in outcomes between groups. Result The ages of the participants were comparable between general and spinal anesthesia, with means of 27.86 ± 5.42 and 26.27 ± 6.77 years, respectively; p = 0.344. The DDI and one- and five- minute Apgar scores were significantly different between the general and spinal anesthesia groups. There was no significant difference between general and spinal anesthesia regarding neonatal and maternal death. Conclusion General anesthesia may be considered faster than spinal anesthesia during emergency cesarean section deliveries. However, it was found that; it is associated with fetal and maternal morbidity compared to spinal anesthesia. Therefore, we recommend spinal anesthesia over general anesthesia to achieve a better outcome.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 68%

See 1 more Smart Citation

Feto-Maternal Outcome of General and Spinal Anesthesia Among Pregnant Mothers Who Undergo Category One Cesarean Sections –A Comparative Cross-Sectional Study at Jimma University Medical Center, 2022.

Bedane,

Belay,

Abate

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Does the mode of anesthesia affect the feto-maternal outcome in category-1 caesarean section? A prospective non-randomized study comparing spinal versus general anesthesia

Abstract: 2021) Does the mode of anesthesia affect the feto-maternal outcome in category-1 caesarean section? A prospective non-randomized study comparing spinal versus general anesthesia,

Cited by 1 publication

References 15 publications

Feto-Maternal Outcome of General and Spinal Anesthesia Among Pregnant Mothers Who Undergo Category One Cesarean Sections –A Comparative Cross-Sectional Study at Jimma University Medical Center, 2022.

Feto-Maternal Outcome of General and Spinal Anesthesia Among Pregnant Mothers Who Undergo Category One Cesarean Sections –A Comparative Cross-Sectional Study at Jimma University Medical Center, 2022.

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