Trends of anesthesia practice for obstetric anesthesia in a tertiary care institute

Background: Obstetric critical care with its fast-evolving modalities of care is developing to match the advances and novel concepts in obstetric perioperative care. Goals for anesthesia for cesarean delivery must include the comfort and safety of the parturient, and the well-being of the fetus and neonate. Our study aimed to analyse the trends of anesthesia in our tertiary care institute. Methodology: This observational prospective study was conducted over a period of 18 months including 24,366 obstetric patients for emergency or elective cases for surgical procedures during pregnancy. In OT all demographic details, ASA Status, Indication of surgery, Type of anaesthesia, any complications, Patient satisfaction, Neonatal outcome and need of resuscitation, time interval between spinal skin prick to delivery of baby and interval between induction of General Anaesthesia to delivery of baby were noted. Results: In elective OT, Spinal versus General anesthesia was 77.6% vs 22.4% of cases. In emergency OT, it was 95.5% vs. 4.5%, respectively. The time interval from induction to delivery of baby in general anesthesia was 5–10 min, whereas time interval from spinal prick to delivery was 10-15 min. Patient’s satisfaction showed that spinal anesthesia is associated with higher patients’ satisfaction rates. Conclusion: By understanding these trends and time intervals, we can refine anesthesia practice, improve patient outcomes, and enhance the quality of obstetric anesthesia services at our tertiary care institute