Regional versus general anaesthesia for caesarean section

Abstract

There is no evidence from this review to show that RA is superior to GA in terms of major maternal or neonatal outcomes. Further research to evaluate neonatal morbidity and maternal outcomes, such as satisfaction with technique, will be useful.

Predictors for Massive Haemorrhage during Caesarean Delivery Due to Placenta Praevia

“…However, we did not include this factor in our prediction model, as the choice of anaesthesia is usually based on clinical factors already present like amount of blood loss at the time of decision, placental localisation and whether or not the delivery is an emergency. Our findings are similar with the findings of Frederiksen et al [10] and Afolabi et al [14] who reported that general anaesthesia increased intraoperative blood loss and the need for blood transfusion as compared to regional anaesthesia. This difference can be caused by muscle relaxation and opening of the blood vessels with general anaesthesia.…”

Spinal versus general anesthesia in cesarean sections: the effects on postoperative pain perception

“…DiVerent techniques were studied including regional analgesia and incisional-site analgesia [16][17][18]. Although CS is the most common gynecologic surgery preformed, previous studies regarding the advantages and disadvantages of the diVerent methods of anesthesia in CS deal primarily with maternal and neonatal complications [9][10][11].…”

“…The disadvantages of spinal anesthesia are potential hypotension, intrapartum nausea and vomiting, possibility of headaches in cases complicated by dural puncture and limited duration of action [9]. The advantages of general anesthesia are a faster induction, good ventilation, the ability to gain cardiovascular stability and lower rates of hypotension.…”

“…The advantages of general anesthesia are a faster induction, good ventilation, the ability to gain cardiovascular stability and lower rates of hypotension. On the other hand, the patients are not awake to see the newborn at delivery and are also exposed to maternal complications such as aspiration and diYcult intubation [9,10], as well as potential neonatal complications caused by anesthetic drugs that cross the placenta [9,11].…”

“…A comparison of regional versus general anesthesia was made in a metaanalysis by Afolabi et al [9] that included 16 studies with 1,586 women. The authors concluded that there was no evidence that regional anesthesia was superior to general anesthesia in terms of major maternal or neonatal complications [9]. Qublan et al [12] compared spinal versus general anesthesia in 175 patients undergoing elective cesarean delivery.…”