Spinal versus General Anesthesia for Elective Cesarean Section: Immediate outcome

Background: Recent interest has focused on the influence of obstetric anesthesia types on the immediate neonatal and maternal outcome. Aim of the work: The study was intended to assess the immediate neonatal and maternal outcome in relation to the maternal anesthesia type during cesarean section.Pat...

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Autores principales:	Tarik Sarhan, Adel Diab, Mohamed Abdel-aal
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	anesthesia cesarean neonatal morbidity outcome Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/40f0c820c7d94cd983ddcd65ed06279d
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spelling	oai:doaj.org-article:40f0c820c7d94cd983ddcd65ed06279d2021-12-02T13:52:46ZSpinal versus General Anesthesia for Elective Cesarean Section: Immediate outcome2636-41742682-378010.21608/ijma.2020.16397.1026https://doaj.org/article/40f0c820c7d94cd983ddcd65ed06279d2020-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_91684_c826e991cac9f302cacbff483f46edc9.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Recent interest has focused on the influence of obstetric anesthesia types on the immediate neonatal and maternal outcome. Aim of the work: The study was intended to assess the immediate neonatal and maternal outcome in relation to the maternal anesthesia type during cesarean section.Patients and methods: the present study included 200 full term neonates whose mothers underwent elective cesarean section (CS). They were grouped according to type of anesthesia given to mothers into group 1: included 100 newborns whose mothers had general anesthesia and group 2: included 100 newborns whose mothers had spinal anesthesia. Each newborn evaluated for short-term outcome including Apgar score, need for NICU admission and blood gas analysis. Mothers assessed for postoperative outcome. Results: No significant differences were discovered between the types of anesthesia used in regard to the general maternal characteristics. Neonatal outcomes on the other hand showed no significant differences as regard Apgar score (P=0.33) and NICU admission (P= 0.57), PaCO2, HCO3, Na and K; while PH and PaO2 were significantly lower with spinal anesthesia (P= 0.02 and 0.008 respectively). Additionally, spinal anesthesia was associated with rapid recovery of bowel and less need for postoperative analgesia. Conclusion: The type of anesthesia used in mothers undergoing full term elective cesarean deliveries does not seem to affect the immediate neonatal outcome. Both may be safely used in full term elective cesarean deliveries. However, spinal anesthesia had the advantage of lower need for postoperative analgesia with rapid recovery of bowelTarik SarhanAdel DiabMohamed Abdel-aalAl-Azhar University, Faculty of Medicine (Damietta)articleanesthesiacesareanneonatalmorbidityoutcomeMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 3, Pp 487-492 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	anesthesia cesarean neonatal morbidity outcome Medicine (General) R5-920
spellingShingle	anesthesia cesarean neonatal morbidity outcome Medicine (General) R5-920 Tarik Sarhan Adel Diab Mohamed Abdel-aal Spinal versus General Anesthesia for Elective Cesarean Section: Immediate outcome
description	Background: Recent interest has focused on the influence of obstetric anesthesia types on the immediate neonatal and maternal outcome. Aim of the work: The study was intended to assess the immediate neonatal and maternal outcome in relation to the maternal anesthesia type during cesarean section.Patients and methods: the present study included 200 full term neonates whose mothers underwent elective cesarean section (CS). They were grouped according to type of anesthesia given to mothers into group 1: included 100 newborns whose mothers had general anesthesia and group 2: included 100 newborns whose mothers had spinal anesthesia. Each newborn evaluated for short-term outcome including Apgar score, need for NICU admission and blood gas analysis. Mothers assessed for postoperative outcome. Results: No significant differences were discovered between the types of anesthesia used in regard to the general maternal characteristics. Neonatal outcomes on the other hand showed no significant differences as regard Apgar score (P=0.33) and NICU admission (P= 0.57), PaCO2, HCO3, Na and K; while PH and PaO2 were significantly lower with spinal anesthesia (P= 0.02 and 0.008 respectively). Additionally, spinal anesthesia was associated with rapid recovery of bowel and less need for postoperative analgesia. Conclusion: The type of anesthesia used in mothers undergoing full term elective cesarean deliveries does not seem to affect the immediate neonatal outcome. Both may be safely used in full term elective cesarean deliveries. However, spinal anesthesia had the advantage of lower need for postoperative analgesia with rapid recovery of bowel
format	article
author	Tarik Sarhan Adel Diab Mohamed Abdel-aal
author_facet	Tarik Sarhan Adel Diab Mohamed Abdel-aal
author_sort	Tarik Sarhan
title	Spinal versus General Anesthesia for Elective Cesarean Section: Immediate outcome
title_short	Spinal versus General Anesthesia for Elective Cesarean Section: Immediate outcome
title_full	Spinal versus General Anesthesia for Elective Cesarean Section: Immediate outcome
title_fullStr	Spinal versus General Anesthesia for Elective Cesarean Section: Immediate outcome
title_full_unstemmed	Spinal versus General Anesthesia for Elective Cesarean Section: Immediate outcome
title_sort	spinal versus general anesthesia for elective cesarean section: immediate outcome
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/40f0c820c7d94cd983ddcd65ed06279d
work_keys_str_mv	AT tariksarhan spinalversusgeneralanesthesiaforelectivecesareansectionimmediateoutcome AT adeldiab spinalversusgeneralanesthesiaforelectivecesareansectionimmediateoutcome AT mohamedabdelaal spinalversusgeneralanesthesiaforelectivecesareansectionimmediateoutcome
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Spinal versus General Anesthesia for Elective Cesarean Section: Immediate outcome

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