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Volume 6 Issue 9 (September, 2018)

Original Articles

Comparison of general anaesthesia and spinal anaesthesia for caesarean section
Kanika Sharma, Lalit Kumar Kejriwal

Background: The present study was conducted for comparing general anaesthesia and spinal anaesthesia for caesarean section (C-section).Materials & methods: A total of 100 subjects scheduled for elective C-section were enrolled. Complete demographic and clinical details of all the patients was obtained. All the patients were broadly divided into two groups as follows: Group A: Patients undergoing C-section under general anesthesia, and Group B: Patients undergoing C-section under spinal anesthesia. All the procedures were carried out under the hands of skilled and experienced gynecologist and anesthetist. Outcome was recorded. All the results were recorded in Microsoft excel sheet. Results: Postoperative wound infection was seen in 2 patients of group A and among 3 patients of group B. There were no maternal deaths. Babies demonstrated no difference in birthweight (Group A: 3312.2 gram and Group B: 3297.5 gram). Mean Apgar scores among patients of group A and group B at one minute was 6.23 and 8.08 respectively (p-value < 0.05). Mean Apgar scores among patients of group A and group B at five minute was 7.92 and 8.92 respectively (p-value < 0.05). NICU admission was seen in 5 patients of group A and 6 patients of group B. Conclusion: GA and SA appear equally safe, but SA was associated with significantly better outcome.

 
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