ABSTRACT
Background: There are some advantages and drawbacks of both spinal (SA) and general
anaesthesia (GA) used for caesarean section (CS) and there is no fully perfect process.
Although GA is still the first choice for category-1 emergency CS because of time constraints,
but this technique poses several problems. This study was planned to compare maternal and
fetal results in women undergoing emergent CS with spinal or general anesthesia.
Materials and Methods: This study took place at Benha University Hospital during the period
from August 2020 to February 2021. It included 74 patients who had emergency CS and were
subdivided into 2 groups according to the appropriate clinical indications. Patient features, CS
indication, decision-to-delivery interval (DDI), uterine incision-to delivery (UIDT), cord blood
pH, Apgar scores, length of hospital stay (LOS) and maternal morbidity have been noted.
Results: 74 patients were included in the analysis of total 77 patients underwent category 1 CS.
The DDI and UIDT were not significantly different. One and 5-min Apgar scores were significantly higher in SA group compared to GA group. The umbilical cord blood pH showed no
difference. No differences were noted between both groups regarding neonatal and maternal
morbidity postoperative.
Conclusion: GA may be considered the fastest anaesthesia procedure in emergency situations,
as it eliminates the risk of a failed regional block. In the meantime, the danger to mother or
fetus is higher. Thus, we recommend regional anesthesia wherever possible due to better
outcome regarding APGAR score and LOS. |
