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Prospective study compares spinal versus general anesthesia for cesarean section

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For cesarean section, the use of spinal anesthesia was linked with better maternal health and neonatal outcomes when compared to general anesthesia.

For pregnant females undergoing elective cesarean section, spinal anesthesia was better for the mother's health and higher Apgar score (a significant assessment of neonatal outcome), as per a hospital-based prospective study. Researchers aimed to comparatively evaluate general and spinal anesthesia with respect to its neonatal outcomes in 40 pregnant females undergoing cesarean.

Participants were randomly allocated into general anesthesia operated group [GAOG] and spinal anesthesia operated group [SAOG]. In both the study groups, recording of mother health and neonatal outcome was done. From participants, collection of preoperative and postoperative blood was done. The separated serum was examined for several parameters like total white blood count, hemoglobin, platelet count, red blood count, and hematocrit.

In GAOG and SAOG, the body mass index was non-significantly distinct. The postsurgery hemoglobin content, hemogram, and percent hematocrit substantially reduced when compared to their preoperative parameters in the GAOG group. Similar findings were also noted in SAOG. In the postsurgery stage, SAOG demonstrated a considerable reduction in platelet count, hemoglobin content, red blood cells value, and hematocrit content when compared to GAOG.

In the postsurgery stage, SAOG displayed a non-significant rise in systolic blood pressure and a drop in diastolic blood pressure when compared to GAOG. Compared to GAOG, the weight of the newborn baby was found to be greater in SAOG. The Apgar scores were greater in the SAOG patients at the first minute and after five minutes when compared to GAOG. Thus, the use of spinal anesthesia is valuable for better maternal health and newborn outcomes.

Source:

World Bulletin of Public Health

Article:

Comparison Between Spinal Anesthesia And General Anesthesia For The Caesarean Section: A Prospective Study

Authors:

Hatam Faawy Ghadhban et al.

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