A COHORT STUDY COMPARING THE SHORT-TERM OUTCOME OF NEWBORN INFANTS: SPINAL VERSUS GENERAL ANAESTHESIA IN ELECTIVE CESAREAN SECTION.

Bhanu  Prakash; Nidhi  Singh

doi:10.51168/sjhrafrica.v5i6.1223

Authors

Bhanu Prakash MD, Assistant Professor, Department of Anaesthesia, Shree Narayan Medical Institute and Hospital, Saharsa, Bihar, India
Nidhi Singh PG Resident, Department of OBG, Shaheed Hasan Khan Mewati Goverment Medical College, Nuh, Mewat, Haryana, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i6.1223

Keywords:

Spinal anaesthesia, General anaesthesia, Elective caesarean section

Abstract

Background:

During C-sections, general anesthesia is required to guarantee the safety of the fetus and the mother. In this retrospective cohort investigation, average variations in hematocrit and predicted loss of blood, newborn Apgar evaluation at one and five minutes, and postoperative hemodynamic parameters (prior- and following surgery systolic blood pressure, heart rate) were used to compare maternal and fetal results among general and spinal sedation for C-sections. The study aims to compare maternal and fetal outcomes between spinal anesthesia and general anesthesia in elective cesarean sections.

Methods:

A retrospective study was performed on information collected from electronic health records of 227 pregnancies with one child between X to Y; 200 instances were given to the spinal category (n = 100) or general category (n = 100), and 27 cases were excluded.

Results:

The overall organization's afterward hemodynamic results (SBP: 136 ± 16.5 vs. 120 ± 12.5 mmHg, heart rate: 93.0 ± 17 vs. 71.0 ± 12.5 beats per min, P < 0.001) were significantly greater than those of the spinal category. Furthermore, a statistically significant distinction was observed (P < 0.001) between the prior and afterward hematocrit in the overall category compared to the spinal category (4.8 ± 3.5% vs. 2.3 ± 4.0%, each). In the overall category, compared to the spinal category, there was a greater percentage of newborns with 5-min Apgar scores < 7 (6/141 [4.3%] vs. 0/146 [0%], accordingly, P = 0.012).

Conclusion:

Compared to the spinal category during cesarean sections, the general category is linked to greater maternal loss of blood and a higher percentage of infants with 5-minute Apgar evaluation < 7.

Recommendations:

Based on the study's findings, it is recommended to prefer spinal anesthesia over general anesthesia for elective cesarean sections to minimize maternal blood loss and improve neonatal Apgar scores.