Comparison of neonatal and maternal outcomes after cesareandelivery with general anesthesia and spinal anesthesia

The choice of anesthesia for cesarean section depends on factors such as the cause of the operation, the degree of urgency of the operation and the patient’s desire. Following the choice of any of the methods either general anesthesia or spinal anesthesia for mother and baby will have consequences. The aim of this study was to compare maternal and neonatal outcomes after cesarean section with general and spinal anesthesia in teaching hospitals in Ahvaz in 1398.

This analytical study was performed in 1398 on 110 pregnant women aged 20-35 years who are candidates for repeat elective cesarean section in Ahvaz educational hospitals for termination of pregnancy. The research instruments included a three-part questionnaire related to demographic characteristics and pre-cesarean section information and post-cesarean section information. SPSS software version 22 and paired t-test and independent t-test and chi-square were used to describe and analyze the data.

The use of spinal anesthesia for cesarean section was associated with less pain, less analgesia, higher Apgar score, higher hematocrit and hemoglobin, no sore throat, and more satisfaction compared to general anesthesia. But the complications of nausea, vomiting and postoperative headache are more common in the group with spinal anesthesia.

Therefore, according to the results of the study, it is recommended to use spinal anesthesia as much as possible in cesarean delivery.