Maternal and neonatal outcome following caesarean section under spinal versus general Anesthesia in Kenyatta National Hospital maternity theatre
Abstract
The risk of maternal death with caesarean section is four times that associated
with all types of vaginal Birth. Poor maternal and neonatal outcome are more
commonly associated with general anesthesia for cis as compared to spinal
anesthesia. This study compared the safety and the effectiveness of the two
techniques for maternal and neonatal outcome for all the indications for
caesarean section
Methodology:
A Prospective Observational Descriptive study carried out in KNH maternity
theater. A total of 196 patients were recruited in this study and they all
completed the study.
Results
In this study, of 196 patients, 43.9% cis were performed under GA. The rest were
under SA regardless of the indication for the cis. The preference of anesthesia for
cis was directed at SA regardless of the indication and was significant (p=0.032).
From the data, SAwas performed in 40.8%, whilst GA 59.2% in a group of patients
with immediate indications for cis. For patients who had urgent indications for
cis, SA was performed in 60.8% out of 102 cases. SA was a predominant choice
with elective indications. Out of 35 cases, 24 cases were performed under SA and
11 cases under GA.
Intra-operatively, the commonest maternal side effect observed from the two
groups was Hypotension and was significant in the SA group (p<0.001). The total
number of cases that got hypotension in SA group was 52 (47.3%) and in the GA
group, 12(14%).
Citation
Master of medicine in anesthesiologySponsorhip
University of NairobiPublisher
Department of surgery-university of Nairobi