The Effect of General and Spinal Anesthesia on Maternal Blood Loss in Elective Cesarean Section: a prospective Study | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 28, Volume 73, Issue 7, October 2018, Page 7177-7181 PDF (384.97 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2018.17609 | ||||
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| Authors | ||||
| Prof. Ahmed Altaf Abbas1; Prof. Tarek Ramadan Abbas1; Ahmed Shawkey Dewidar2 | ||||
| 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 | ||||
| Keywords | ||||
| Spinal anesthesia; general anesthesia; cesarean section; Maternal blood loss | ||||
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