scholarly journals Maternal parameters in lower segment caesarean section: a comparative study of the effects of spinal anaesthetic agents

Author(s):  
M. Wilson ◽  
Usha Christopher
Author(s):  
Dr. Hari Prasad Kasturi

Pregancy is a very stressful condition for every women. Most of them live in a fear of complications and the safety of the unborn baby. Many have lots of questions and confusions when it comes to surgery. Regional anaesthesia is the best choice for a elective lower segment caesarean section. Making sure that the pregnant women co-operates to perform a lumbar puncture to deliever the drugs is at most important to have a succesful spinal block. It is also very important to choose drugs which last for longer time and provide analgesia even after the surgery. The practice of adding additives to local anaesthetic agents is very come from decades. The best and the safest additive with very low complication is the one which doesn’t affect the degree of anaesthetic block and has very safe haemodynamic response. Fentanyl is a time tested drug and it is very safe as per the available litracure and can be safely given in pregnancy. In this comparative study we are going to compare the potentail of fentanyl and bupivacaine with bupivacaine alone when given intrathecally


Author(s):  
Asha Neravi ◽  
Namrata Kulkarni ◽  
M. Usha Brindhini ◽  
V. Udayashree

Background: Globally, high rates of caesarean section (CS) are an issue of public health concern. For women who have had a previous caesarean, choices for mode of birth in their next pregnancy are either a trial of vaginal birth after caesarean (TOLAC) or an elective repeat caesarean delivery (ERCD). Both ERCD and TOLAC have benefits and risks associated.Methods: A prospective comparative study was conducted in the Department of Obstetrics and Gynecology at SDM college of medical science and hospital, Dharwad, Karnataka, India. The study included 80 women with one previous lower segment caesarean section over a period of 1 year. A 40 women underwent TOLAC and 40 women had a repeat caesarean section. The maternal and fetal outcomes in trial of labour after caesarean delivery and repeat caesarean delivery were compared.Results: In this study maternal morbidity was more common in ERCD group than in the TOLAC group. Neonatal outcome was the same in both the study groups. Conclusions: In our study the TOLAC success rate was 70-80%, pregnant woman with one previous lower segment Caesarean section should be given the option of TOLAC, unless contraindicated. 


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