Cesarean Section and Spinal Anesthesia in Clinical Hospital Shtip

Eftimova, Biljana and Lazarova, Biljana and Eftimova, Aleksandra (2022) Cesarean Section and Spinal Anesthesia in Clinical Hospital Shtip. International Journal Dental and Medical Sciences Research, 4 (5). pp. 248-251. ISSN 2582-6018

Text Cesarean Section and Spinal Anesthesia in Clinical Hospital Shtip (1).pdf - Published Version Download (97kB)

Abstract

Anesthetics approach to Caesarean section has considerably changed during last decades . The changes are primarily related to the choice of anesthesia, so that the percentage of Cesarean section performed under general anesthesia is in a steady decline with a simultaneous significant increase in Cesarean section performed under spinal anesthesia. The choice of anesthesia for Cesarean delivery depends on the indication for the surgery, the degree of emergency and affinities of pregnant woman. It implies that proposed method of anesthesia provides good operating conditions and that is safer for both mother and child. Advances of regional – spinal anesthesia to general anesthesia are: greater safety of mother and child, consciousness of mother during birth, better postoperative analgesia and earlier mobilization of mother. In last decade the number of Cesarean section performed in Clinical Hospital in Stip has been constantly ncreasing. This trend has enabled us to fully affirm spinal anesthesia as the method of choice for Cesarean delivery in our hospital. These results indicate that spinal anesthesia has become the method of choice in our hospital and is performed in almost 90% of patients who went
under Cesarean section. It has also become the method of choice in an emergency Cesarean section.
Aim: To find out the most preferred and frequent anesthetic technique for both elective and emergency cesarean sections in Clinical hospital Stip.
Methods: In our paper we include 1126 patients for elective and emergency C.section from January 2016 to July 2019.
Results: We include elective and emergency C.sections. Spinal anesthesia was the commonest technique used for C section both for emergency
and elective cases . There was no significant difference regarding the minimum or maximum ages of patients coming for elective and emergency cesarean sections.
Conclusion: The most, preferred and convenient anaesthetic technique for cesarean section is the The results of this study didn’t determine any clinically significant differences in objective and subjective indicators of quality of spinal anesthesia for Cesarean section in elective and emergency regime. Urgent Cesarean section performed under spinal anesthesia is confirmed as safe and reliable method of anesthesia with recommendation to follow pre and intraoperative volume optimization protocol and application of vasopressors. So we
recommend spinal anesthesia as the method of choice, not just as an alternative to general anesthesia for the large number of emergency
Cesarean section.

Item Type:	Article
Impact Factor Value:	6.18
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Biljana Lazarova
Date Deposited:	30 Sep 2024 06:35
Last Modified:	30 Sep 2024 06:35
URI:	https://eprints.ugd.edu.mk/id/eprint/34733

Actions (login required)

View Item