The Effect of General and Spinal Anesthesia on Maternal Blood Loss in Elective Cesarean Section: a prospective Study

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo

2 Department of Obstetrics and Gynecology, El-Galaa Maternity Teaching Hospital, Cairo

Abstract

 
 
Background: This study aims to compare between general and spinal anesthesia regarding to the amount of maternal blood loss in cesarean section.
Methods: This is a randomized controlled study conducted at Bab El Shaaria Hospital to compare maternal blood loss by general and spinal anesthesia.
Results: The results showed that the group which had a cesarean section under spinal anesthesia has a statistically significant 2nd day postoperative higher level of hemoglobin (P< 0.001), when compared with general anesthesia, with a mean difference of 0.660g/dL and also a statistically significant 3rd day postoperative hematocrit percentage higher with the spinal anesthesia group with a mean difference of 1.507% (P= 0.002).
Conclusion: The spinal anesthesia showed definite advantages over general anesthesia; being higher postoperative hemoglobin level and hematocrit value, less intraoperative blood loss, less need for blood transfusion, less postoperative pain and need for postoperative analgesia, and earlier ambulation. In addition; mothers were faster in starting breast feeding their babies
 

Keywords

The Egyptian Journal of Hospital Medicine
Volume 73, Issue 7
October 2018
Pages 7177-7181

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