Assessment Of Maternal And Fetal Outcomes In Women Undergoing Emergent Caesarean Section Under General And Spinal Anesthesia

Abstract

Background: Both spinal and general anesthesia for cesarean delivery have advantages and downsides, and no approach is perfect. The most essential variables for choosing anaesthesia are: pregnant systemic issues and wishes, the urgency of the operation, and the surgeon and anesthetist's experience.. Aim of the Work: These studies aimed at comparing maternal and fetal outcomes in women undergoing emergent  caesarean section and have spinal anaesthesia with those having general anaesthesia. Subjects and Methods: This study was carried out at Makkah Hospital during the period from December 2021 to August 2022 after approval of the hospital health ethical committee. It included 186 patients who had C.S and were subdivided into 2 groups according to a randomization scale. On the day of the operation, each randomly received a closed opaque envelope for the selection of the procedure (spinal versus general). Results: We noted that the mean haemoglobin and ha[1]ematocrit values at the 24th hour were higher in the spinal anaesthesia group. The estimated blood loss volume was significantly higher in the general anaesthesia group. The median apgar score at the first and the fifth minutes were significantly higher, and the time that elapsed until the first requirement for analgesia was significantly longer in the spinal anaesthesia group. Conclusion and Recommendations: General anaesthesia could be thought the quickest anaesthesia method in an emergency since it avoids the possibility of a failed regional block. Meanwhile, it is associated with higher possibility of blood loss and low Apgar score. Thus, using spinal anaesthesia for elective caesarean section is recommended provided that adequate maternal hydration is established and sparing general anaesthesia for emergency caesarean sections or whenever spinal anaesthesia is contraindicated (e.g. coagulopathy, sever thrombocytopenia, anticoagulation or sever degree of malformation of spine).