مقايسه عوارض بيهوشي با بي حسي نخاعي پس از سزارين در زنان مراجعه كننده به بيمارستان تربت حبدريه در سال 1383

Comparison of the Side Effects of General and Spinal Anesthesia in Cesarean Section of Women Referring Two Hospitals in Torbate Heidaryyeh, Iran in 2004

Background and Purpose: Cesarean Section (CS) is a Common obstetric procedure and hence, a low-risk, appropriate and cost-effective anesthetic method is of importance for both mother and neonate. As almost all cesarean sections in the two hospitals of Torbate Heidarryyeh are performed under general anesthesia due to concern about the complications of Spinal anesthesia, the side effects of the two methods are studied in this research. Methods and Materials: 37 pregnant gravid 1-2 women of 18-30 years old with signal-fetus pregnancy and no other complication who experienced Spinal cesarean section were compared with 52 women who experienced cesarean section under general anesthesia. The side effects of each method were recorded for 24 hours after the surgery. Results: Mean first-minute Apgar in Spinal Cesarean and ceosarean section by general anesthesia were 8.8±0.3 and 8.3±0.7 respectively which means a statistically significant difference. Mean systolic and diastolic blood pressures were significant. Perfect satisfaction in the Spinal subjects was 64.9% and in the other group was 5.8%. Conclusion: High satisfaction rate, the subjectʹs cooperation in controlling the uterus and prevention of atony, good cooperation in lactation, low headache recurrence in 2.7% of the cases, and low cost are the advantages of the spinal anesthesia and therefore it is recommended for cesarean section Candidates.