TMSS Medical College Journal

Background: Though special anesthesia is the conventional technique, now a day’s general anesthesia has been accepted for cesarean section (CS) in a case of critical patient. Objective: The aim of the study to compare the side effects of general vs spinal anesthesia during caesarean operation. Materials and Methods: This study was conducted on 100 (Hundred) randomly selected participants. Of them 50 participants referred as case group A (treated with general anesthesia), and 50 participants were referred as case group B (treated with spinal anesthesia). Blood samples were collected before and after the operation to see the differences in WBCs, RBCs, Hemoglobin concentration and platelets count. Blood pressure and body temperature were also measured after operation. Other parameters were collected from patient's thick report or by direct interviewing questionnaire. Results: The mean age of the participants was 30.52 + 4.608, majority of them have their first or second caesarean section. 23/25 (92%) of spinal anesthesia was decided with the doctor while 20/25 (80%) of general anesthesia was chosen the patient's themselves. Local pain and headache were clearly observed in spinal anesthesia while vomiting, fever, ICU admission and infection were very rare when using both types of anesthesia. Marked differences were observed in the hemoglobin concentration, RBCs count, WBCs count and platelets count when using the two techniques of anesthesia before and after operation. In our study, we observed in 40% of participants suffered from local pain and 34% suffered from headache after operation in both groups A and B. No remarkable difference was noted on blood pressure range (but some participants have slightly decreased in BP). All participants have slight changes in WBCs, platelets count, RBCs count and hemoglobin concentration. Conclusion: Spinal anesthesia has mild side effects such as vomiting, headache and local pain. In contrast general anesthesia may affect hematological parameters by increasing WBCs count and decreasing hemoglobin concentration, RBCs count and platelets count.

Over the past few decades, there has been a tremendous increase in the number of cesarean deliveries performed by section in most industrialized countries. Wide differences occur between countries, regions or even hospitals within the same region with similar ~~ socioeconomic profiles and patient characteristics’. This suggests that cesarean section (CS) is probably often performed for non-medical reasons leading to an overall overuse of this surgical obstetric intervention. Indeed, it has been acknowledged that elective primary and repeat CS have contributed heavily to the rise in CS?. In the US, for instance, the overall CS rates increased by 14% from 1998 to 2001 as a result of a 13% increase in medically indicated primary CS and a 53% increase in the rate of elective primary CS. Because of this global increase in CS rates, more attention is being paid to their outcomes. Spinal, epidural or general anesthesias (GA) are the methods of choice for CS delivery. Both methods have advantages and disadvantages. Although regional anesthesia is the primary choice in most countries, it is still controversial in some aspects. There is also a great difference between countries, regions or even hospitals regarding the preference for the method of anesthesia. In a study held at a university hospital in Turkey, only 44.5% of patients were preferentially submitted to regional anesthesia‘, as opposed to an 80% rate in the US". The purpose of the anesthetic is to reduce thepain that developed during caesarean section operation. This can be achieved using a general anesthetic, a spinal anesthetic or an epidural anesthetic. There are times when these techniques may be used together’. General anesthesia is given using a combination of drugs that are injected into the mother and gases that mother breathe. It is used to make the mother unconscious in a carefully controlled way. General anesthesia has been shown to be very safe although it's less commonly performed than epidural or spinal anesthetics for caesarean section’. Spinal anesthetics are usually used as a single injection of local anesthetic for an operation. The single injection lasts for 2-3 hours Spinal anesthetics are more commonly chosen for caesarean section, because they block the nerves more completely and more rapidly than an epidural®. The aim of this study is to compare the side effects of general vs spinal anesthesia during caesarian operation.