Impact of general versus spinal anesthesia on maternal blood loss in cesarean section

2015 ◽  
Vol 5 (3) ◽  
pp. 124-128
Author(s):  
Hosam M. Hemeda ◽  
Mahmoud A. El-Shourbagi ◽  
Walid H. Tantawi ◽  
Mohammed Elsokkary ◽  
Mohammed M. El-sum
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Maternal Blood

Spinal Anesthesia for Parturients with Multiple Gestation Undergoing Elective Cesarean Section - Hemodynamics, Blood Loss, and Neonatal Outcome

2002 ◽  
Vol 96 (Sup 2) ◽  
pp. A1037
Author(s):  
Dirk Meininger ◽  
Heidemarie Hingott ◽  
Brian A. Hall ◽  
Nanette LʼAllemand ◽  
Dorothee H. Bremerich
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Neonatal Outcome ◽  
Elective Cesarean Section ◽  
Multiple Gestation ◽  
Elective Cesarean

Spinal versus Epidural Anesthesia for Cesarean Section in Severely Preeclamptic Patients 

1999 ◽  
Vol 90 (5) ◽  
pp. 1276-1282 ◽  
Author(s):  
David D. Hood ◽  
Regina Curry
Keyword(s):  
Blood Pressure ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Regional Anesthesia ◽  
Epidural Anesthesia ◽  
Study Groups ◽  
Maternal Blood ◽  
Pressure Effects ◽  
Clinical Series ◽  
Blood Pressure Effects

Background Selection of spinal anesthesia for severely preeclamptic patients requiring cesarean section is controversial. Significant maternal hypotension is believed to be more likely with spinal compared with epidural anesthesia. The purpose of this study was to assess, in a large retrospective clinical series, the blood pressure effects of spinal and epidural anesthesia in severely preeclamptic patients requiring cesarean section. Methods The computerized medical records database was reviewed for all preeclamptic patients having cesarean section between January 1, 1989 and December 31, 1996. All nonlaboring severely preeclamptic patients receiving either spinal or epidural anesthesia for cesarean section were included for analysis. The lowest recorded blood pressures were compared for the 20-min period before induction of regional anesthesia, the period from induction of regional anesthesia to delivery, and the period from delivery to the end of operation. Results Study groups included 103 women receiving spinal anesthesia and 35 receiving epidural anesthesia. Changes in the lowest mean blood pressure were similar after epidural or spinal anesthesia. Intraoperative ephedrine use was similar for both groups. Intraoperative crystalloid administration was statistically greater for patients receiving spinal versus epidural anesthesia (1780 +/- 838 vs. 1359 +/- 674 ml, respectively). Neonatal Apgar scores and incidence of maternal intensive care unit admission or postoperative pulmonary edema were also similar. Conclusion Although we cannot exclude the possibility that the spinal and epidural anesthesia groups were dissimilar, the magnitudes of maternal blood pressure declines were similar after spinal or epidural anesthesia in this series of severely preeclamptic patients receiving cesarean section. Maternal and fetal outcomes also were similar.

Effect of expansion technique of uterine incision on maternal blood loss in cesarean section

2009 ◽  
Vol 282 (5) ◽  
pp. 475-479 ◽  
Author(s):  
Leila Sekhavat ◽  
Razieh Dehghani Firouzabadi ◽  
Parisa Mojiri
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Maternal Blood ◽  
Uterine Incision ◽  
Expansion Technique

scholarly journals EPINEPHRINE

2016 ◽  
Vol 23 (04) ◽  
pp. 504-508
Author(s):  
Ali Mirmansouri ◽  
Farnoush Farzi ◽  
Azadeh Raoufi ◽  
Ziba Zahiri Sorouri ◽  
Fereidon Mortazavi Najafabadi
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Uterine Contraction ◽  
Maternal Blood ◽  
Epinephrine Administration ◽  
Minimal Impact ◽  
Emergency Cesarean ◽  
Uteroplacental Blood Flow ◽  
Uterine Relaxation ◽  
Adrenergic Receptor Agonist

The most common complication of spinal anesthesia for cesarean section ishypotension. Ephedrine is the most commonly used vasopressor that increases blood pressurewith minimal impact on uteroplacental blood flow. An alpha-1 adrenergic receptor agonist mayneed to be administrated when ephedrine is ineffective. Unavailability of alpha-1 receptoragonists in a period of time in our center leads to administration of epinephrine as the seconddrug. In the present study, the data of 14 patients with ephedrine resistant hypotension duringspinal anesthesia for cesarean section were reviewed. Increase in maternal blood pressurewas recorded one minute after epinephrine administration in all patients. Surprisingly, thismedication also causes uterine relaxation after one to five minutes. Ease of fetal extractionwas noticed in 13 patients. All patients achieved adequate uterine contraction after delivery.Epinephrine helped regulate blood pressure and surprisingly facilitate uterine relaxation inpatients with emergency cesarean section with spinal anesthesia.

scholarly journals EPHEDRINE FOR PREVENTION HYPOTENSION

2007 ◽  
Vol 14 (04) ◽  
pp. 610-615 ◽  
Author(s):  
ABDUL-HAMEED CHOHEDRI ◽  
SHAHRBANO SHAHBAZI ◽  
L KHOJESTE ◽  
Elahe Alahyari
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Maternal Blood ◽  
Double Blind Study ◽  
Double Blind ◽  
Prophylactic Dose ◽  
Anesthesia Group ◽  
Group A ◽  
Study Setting ◽  
Maternal Blood Pressure

Background/Aim:. To ameliorate post spinal anesthesia hypotensionin patients undergoing cesarean section. To compare the incidence of maternal hypotension associated withspinal anesthesia for cesarean section when intravenous (IV), intramuscular (IM) or oral prophylactic boluses ofephedrine were used. Design: Prospective randomized double blind study. Setting: Department of anesthesiology,Zainibiae Hospital, Shiraz University, Iran. Period: From: June 2004 to November 2005. Materials and Methods:60 ASA grade I-II pregnant mothers were enrolled. Spinal anesthesia was performed using 60-70 mg of 5% solutionof lidocaine. The patients were divided into three equal groups (n=20). Oral and IM ephedrine (25 mg) wasadministered to the first two groups 30 to 60 minutes before induction of anesthesia (Group A and B, respectively). Inthe last 20 patients, IV Ephedrine (25 mg) was administered immediately after induction of spinal anesthesia (GroupC). Maternal blood pressure and pulse rate was checked every 2 minutes. Hypotension was promptly treated with 10-mg ephedrine boluses. Results: Both IM and IV prophylactic doses of ephedrine significantly decreased the incidenceof hypotension, compared to oral prophylactic dose of ephedrine [4/20 and 0/20 in the IM and IV ephedrine groups,respectively vs. 9/20 in the oral ephedrine group (p < 0.05)]. Conclusion: Oral prophylactic dose of ephedrine is noteffective in preventing hypotension in pregnant women undergoing cesarean section with spinal anesthesia. Therefore,we only recommend a single bolus of IV ephedrine with a dose of 25mg.

scholarly journals Implementation of Delayed Cord Clamping for 3 Min During Term Cesarean Sections Does Not Influence Maternal Blood Loss

2021 ◽  
Vol 9 ◽  
Author(s):  
Stefanie Celen ◽  
Emily J. J. Horn-Oudshoorn ◽  
Ronny Knol ◽  
Eline C. van der Wilk ◽  
Irwin K. M. Reiss ◽  
...  
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Maternal Blood ◽  
Bleeding Complications ◽  
Cesarean Sections ◽  
Delayed Cord Clamping ◽  
Tertiary Referral Hospital ◽  
Cord Clamping ◽  
Local Protocol

Background: To assess maternal safety outcomes after a local protocol adjustment to change the interval of cord clamping to 3 min after term cesarean section.Design, Setting, and Patients: A retrospective cohort study in a tertiary referral hospital (Erasmus MC, Rotterdam). We included pregnant women who gave birth at term after cesarean section. A cohort (Nov 2016–Oct 2017) prior to the protocol implementation was compared to a cohort after its implementation (Nov 2017–Nov 2018). The study population covered 789 women (n = 376 pre-cohort; n = 413 post-cohort).Interventions: Implementation of a local protocol changing the interval of cord clamping to 3 min in all term births.Main outcome measures: Primary outcomes were the estimated maternal blood loss and the occurrence of postpartum hemorrhage (blood loss &gt;1,000 ml). Secondary outcomes included both maternal as well as neonatal outcomes.Results: Estimated maternal blood loss was not significantly different between the pre-cohort and post-cohort (400 mL [300–600] vs. 400 mL [300–600], p = 0.52). The incidence of postpartum hemorrhage (26 [6.9%] vs. 35 (8.5%), OR 1.24, 95% CI 0.73–2.11) and maternal blood transfusion (9 [2%] vs. 13 (3%), OR 1.33, 95% CI 0.56–3.14) were not different. Hemoglobin change was significantly higher in the post-cohort (−0.8 mmol/L [−1.3 to −0.5] vs. −0.9 mmol/L [−1.4 to −0.6], p = 0.01). In the post-cohort, neonatal hematocrit levels were higher (51 vs. 55%, p = 0.004) and need for phototherapy was increased (OR 1.95, 95% CI 0.99–3.84).Conclusion: Implementation of delayed cord clamping for 3 min in term cesarean sections was not associated with increased maternal bleeding complications.

MATERNAL BLOOD LOSS ASSOCIATED WITH LOW DOSE HALOTHANE ADMINISTRATION FOR CESAREAN SECTION

1988 ◽  
Vol 69 (3A) ◽  
pp. A693-A693 ◽  
Author(s):  
Thirion A-V ◽  
RG Wright ◽  
CP Messer ◽  
MA Rosen ◽  
SM Shnider
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Low Dose ◽  
Maternal Blood

Toward an advisory system for cesarean section spinal anesthesia

2004 ◽  
Author(s):  
P. Fung ◽  
G. Dumont ◽  
M. Ansermino ◽  
M. Huzmezan ◽  
A. Kamani
Keyword(s):  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Advisory System

Scenario of General Anesthesia for Cesarean Section in Rural Tertiary Care Center in High Altitude Karnali Academy of Health Sciences

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Ramesh Bhattarai ◽  
Rajiv Shah ◽  
Sita Dhakal ◽  
Pragya Malla ◽  
Srijana Sapkota
Keyword(s):  
Cesarean Section ◽  
General Anesthesia ◽  
High Altitude ◽  
Spinal Anesthesia ◽  
Neonatal Outcome ◽  
Care Center ◽  
Tertiary Care ◽  
Health Sciences ◽  
Tertiary Care Center ◽  
Cord Prolapse

Background: General anesthesia for cesarean section is being less popular for cesarean section in present days but sometime general anesthesia is inevitable. The aim of the study is to assess the trends of general anesthesia, indications, clinical outcome in mother and fetus in high altitude setting of tertiary care center of Nepal. Methods: We conducted descriptive cross-sectional study all cases of cesarean section in Karnali Academy of health Sciences (KAHS) located at high altitude over three years period   in our institute. Data were retrieved from the hospital records during three fiscal year (Jan 1st 2017 to Jan Dec 31st 2019). The record of all the patients who underwent cesarean section under general anesthesia was reviewed for demographic details, indication of general anesthesia, trends for general and spinal anesthesia and maternal and neonatal outcome. Results: Out of total deliveries 2175, 309 (14.2%) cases account for cesarean section. Among them, 52 (17%) required general anesthesia . Eclampsia 19(36%) remain the major indication for General Anesthesia in cesarean section followed by failure of spinal anesthesia number 14 (26%) , cord prolapse six (12%), antepartam haemorrhage five (10%), spinal site infection four (8%), Khiphoscoliosis two(4%), Patients request  two (4%). Use for general anesthesia technique was consistent for three years with slow rise in use of spinal anesthesia . There was no any anesthesia related maternal mortality and nine intraoperative neonatal   Conclusions:  General anesthesia practices are consistently required in rural high-altitude setup. Eclampsia is the commonest indication followed by failure of spinal anesthesia and cord prolapse. Neonatal outcome is still not good.  

Sign in / Sign up

Export Citation Format

Share Document