IMR Press / CEOG / Volume 28 / Issue 4 / pii/2001068

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

Spinal versus general anesthesia for elective cesarean delivery: A prospective comparative study

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1 Department of Obstetrics and Gynecology, Irbid-Aidun (Jordan)
2 Department of Anesthesia Prince Rhashed Hospital, Irbid-Aidun (Jordan)
Clin. Exp. Obstet. Gynecol. 2001, 28(4), 246–248;
Published: 10 December 2001

Objective: To study the efficacy and safety of spinal anesthesia for elective cesarean section as compared with general anesthesia. Patients and Methods: 175 women undergoing elective cesarean section were studied prospectively. They were allocated into two groups; the first group (n = 60) received spinal anesthesia, and the second one (n =115) received general anesthesia for elective cesa­rean section. Preoperative and intraoperative BP and IV fluids were recorded. Chi-Square and Fisher’s exact tests were used to compare differences between the two groups; p < 0.05 was considered significant. Results: There were no differences between the two groups in terms of demographics, indication for elective cesarean section, operative time, gestational age, 1 and 5-min Apgar scores, and the means of preoperative and postoperative systolic and diastolic BP. A statistically significant increase was observed in terms of hypotension, postoperative analgesia, pre-induction and intraopera­tive IV fluids in the spinal group as compared to the general anesthesia group (p < 0.001, p < 0.01, and p < (1.01, respectively). Conclusion: Spinal anesthesia is as effective as a general anesthesia. Maternal and fetal outcome are favorable. Maternal hypo­tension can be managed successfully with modest doses of ephedrine and IV fluid infusions. It provides sufficient postoperative analgesia allowing the mother to have more vitality and comfort than those who receive general anesthesia.

Spinal anesthesia
General anesthesia
Cesarean section
and hypotension
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