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Comparison between the side effects of spinal and general anesthesia during caesarean section

Author: 
Dr. Dawood Ahmed Dawood Sulaiman and Dr. Alaa Adrees A. Al-Dhannoon
Subject Area: 
Health Sciences
Abstract: 

Background: Currently, spinal anesthesia is an acceptable method for cesarean section (CS) throughout the world, since general anesthesia is associated with higher maternal morbidity and mortality rates. The current study was aimed to compare the side effects of general vs. spinal anesthesia during caesarean operation. Materials and methods: This study was performed on women who were candidates for elective Caesarean section at Nineveh private hospital, inMosulcity, Iraq. Informed consents were obtained from all the patients and the risks and side effects of both spinal and general anesthesia were explained preoperatively, One day after the operation, all mothers were examined with respect to the variables. A total of (100) randomly selected participants, Half Of them (50) participants referred as case group A (undergo operation with general anesthesia), and the other half (50 ) participants were referred as case group B (undergo operation with spinal anesthesia). Blood samples were collected before and after the operation to see the differences in Hemoglobin concentration and platelets count, Blood pressure and body temperature were also measured after operation, other parameters were collected from patient's thick report or by direct interviewing questionnaire. Results: The Mean Age Of Participants Was 32.5 Years Old With A Range Between 25-40 Years. The Mean Age of Participants with Spinal Anesthesia Was 32.32 While for Participants with General Anesthesia was 32.72. Majority of them have their first or second caesarean section. 46/50 (92%) of spinal anesthesia was decided with the doctor while 40/50 (80%) of general anesthesia was chosen the patient's themselves. Local pain and headache were clearly observed in spinal anesthesia while vomiting, fever, ICU admission and infection were very rare when using both types of anesthesia. Marked differences were observed in the hemoglobin concentration and platelets count when using the two techniques of anesthesia before and after operation. In our study, we observed in 44 % of participants suffered from pain and 36 % suffered from headache after operation in both groups A and B. No remarkable difference was noted on blood pressure range (but some participants have slightly decrease in BP). All participants have slight changes in platelets count, and Hemoglobin concentration. Conclusion: We should cautiously consider that general anesthesia may be associated with slightly increased in peri-operative room time , hospital stay & the differences were observed in the tested parameters between general and spinal anesthesia regarding postoperative pain at injection site , headache , lumbar pain , vomiting ,fever ICU admission & infection So it is highly recommended to leave the decision of type of anesthesia to the doctor upon patients' clinical condition.

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