University of Khartoum

Spinal Versus General Anaesthesia Fetal & Maternal Complications

Spinal Versus General Anaesthesia Fetal & Maternal Complications

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Title: Spinal Versus General Anaesthesia Fetal & Maternal Complications
Author: Hashim, Traig
Abstract: This study was carried out on 200 pregnant women, with uncomplicated pregnancy, planned for elective cesarean sections in Omdurman maternity hospital for Jan.2001 up to Jun 2001. Half of the patients were operated under spinal anesthesia (group A), while the others operated under general anesthesia (group B). The patients were chosen randomly. This study was aimed at evaluating the complications of spinal anesthesia to the pregnant woman and her neonate in comparison with general anesthesia. This study showed that spinal puncture has less complications in comparison with intubation, and there was no change in the fetal heart rate after conduction of both types of anesthesia. Apgar score was high (10) in neonates of group (A), while it was low (8% scored 6 and 62% scored 8) at 1 min., with improvement at 5 min. (20% scored 8) ingroup (B). Apgar score was the same (10) in both groups at 10 min. It was observed that majority of patients 43% in group (B) required analgesia at 30 min. postoperatively, compared with 31% at 80 min. in group (A), indicating that local anaesthetic drugs have good post operative analgesia. It was found that 22 gauge spinal needle associated with increased rate of post-dural puncture headache 18% in group (A), the same percentage was found with laryngeal pain in group (B). It was found that there was low rate of post- operative infection is both groups, and no anaesthetic death was reported. The study showed that spinal anaesthesia is cheaper (8.433 SP) than general anasthesia (29.894 SP), and has wide acceptance.
URI: http://hdl.handle.net/123456789/7458
Date: 2015-03-25


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