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23

J Liaquat Uni Med Health Sci. 2009; 8(2): 173-176


Comparing Effects of Spinal Versus General Anesthesia in Patients Undergoing Emergency Cesarean Sections: An Obstetricianís View

Khadija Bano and Shereen Zulfiqar Bhutta.

Abstract
OBJECTIVE: To compare the maternal and neonatal effects of spinal versus general anesthesia
in terms of quality of analgesia, muscle relaxation, blood loss during surgery, postoperative analgesia
requirement and apgar score.
STUDY DESIGN: Comparative study
PLACE AND DURATION: Department of Obstetrics and Gynecology, Jinnah Postgraduate Medical
Centre, Karachi, from July 2004 till June 2005.
PATIENTS AND METHODS: Total 250 patients were included in the study. Informed consent was
obtained. Spinal anesthesia (SA) was given to 100 patients and General anesthesia (GA) to 150
patients.
Maternal effects were observed in terms of quality of analgesia, muscle relaxation, blood loss
and postoperative analgesia requirement. Neonates were assessed by Apgar score. Results
were analyzed through SPSS version 10.0.
RESULTS: In the Spinal group, quality of analgesia and muscle relaxation was excellent
(CI=95%). Blood loss and amount of blood transfusion was significantly less (p=0.001) in the
spinal group. Apgar score at 1 minute was better in the spinal group but the difference at 5 minutes
was insignificant. Postoperative analgesia requirement was also significantly less (p-value

Key words: Spinal anesthesia, General anesthesia, Cesarean Section, Apgar score, Safety.



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