Abbas, P., Abbas, P., Dewidar, A. (2018). The Effect of General and Spinal Anesthesia on Maternal Blood Loss in Elective Cesarean Section: a prospective Study. The Egyptian Journal of Hospital Medicine, 73(7), 7177-7181. doi: 10.21608/ejhm.2018.17609
Prof. Ahmed Altaf Abbas; Prof. Tarek Ramadan Abbas; Ahmed Shawkey Dewidar. "The Effect of General and Spinal Anesthesia on Maternal Blood Loss in Elective Cesarean Section: a prospective Study". The Egyptian Journal of Hospital Medicine, 73, 7, 2018, 7177-7181. doi: 10.21608/ejhm.2018.17609
Abbas, P., Abbas, P., Dewidar, A. (2018). 'The Effect of General and Spinal Anesthesia on Maternal Blood Loss in Elective Cesarean Section: a prospective Study', The Egyptian Journal of Hospital Medicine, 73(7), pp. 7177-7181. doi: 10.21608/ejhm.2018.17609
Abbas, P., Abbas, P., Dewidar, A. The Effect of General and Spinal Anesthesia on Maternal Blood Loss in Elective Cesarean Section: a prospective Study. The Egyptian Journal of Hospital Medicine, 2018; 73(7): 7177-7181. doi: 10.21608/ejhm.2018.17609
The Effect of General and Spinal Anesthesia on Maternal Blood Loss in Elective Cesarean Section: a prospective Study
1Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo
2Department 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
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