Hüseyin Aksoy1, Ülkü Aksoy2, Burak Yücel3, Sezin Saygı Özyurt4, Gökhan Açmaz4, Mustafa Alparslan Babayiğit5, Günhan Gökahmetoğlu6, Turgut Aydın3. 1. Department of Obstetrics and Gynecology, Kayseri Military Hospital, Kayseri, Turkey. 2. Department of Obstetrics and Gynecology, Kayseri Memorial Hospital, Kayseri, Turkey. 3. Department of Obstetrics and Gynecology, Kayseri Acıbadem Hospital, Kayseri, Turkey. 4. Clinic of Obstetrics and Gynecology, Kayseri Traininig and Research Hospital, Kayseri, Turkey. 5. Department of Public Health and Epidemiology, Gülhane Military Medical Academy, Ankara, Turkey. 6. Clinic of Anesthesiology, Kayseri Traininig and Research Hospital, Kayseri, Turkey.
Abstract
OBJECTIVE: We aimed to compare the effect of general and spinal anesthesia on maternal blood loss in elective cesarean section (CS). MATERIAL AND METHODS: This was a prospective randomized study and included 418 healthy pregnant women with a term uncomplicated singleton pregnancy between 37 and 41 weeks of gestation. The study participants were randomly divided into two groups: the general anesthesia group and spinal anesthesia group. CSs were all performed using the same surgical technique, and within the groups, the same anesthetic procedures were used (either general or spinal). The primary outcome for this study was operative blood loss. Hemoglobin and hematocrit concentrations were compared between the two groups. RESULTS: The preoperative hemoglobin and hematocrit levels were similar in the both groups (p=0.08 and p=0.239, respectively). Significantly lower operative blood loss was achieved using spinal anesthesia versus general anesthesia during elective CS. The differences between preoperative and postoperative blood values for both the study groups were statistically significant (p<0.001). CONCLUSION: This study demonstrates that spinal anesthesia is associated with a lower risk of operative blood loss than general anesthesia in low risk patients undergoing elective CS.
RCT Entities:
OBJECTIVE: We aimed to compare the effect of general and spinal anesthesia on maternal blood loss in elective cesarean section (CS). MATERIAL AND METHODS: This was a prospective randomized study and included 418 healthy pregnant women with a term uncomplicated singleton pregnancy between 37 and 41 weeks of gestation. The study participants were randomly divided into two groups: the general anesthesia group and spinal anesthesia group. CSs were all performed using the same surgical technique, and within the groups, the same anesthetic procedures were used (either general or spinal). The primary outcome for this study was operative blood loss. Hemoglobin and hematocrit concentrations were compared between the two groups. RESULTS: The preoperative hemoglobin and hematocrit levels were similar in the both groups (p=0.08 and p=0.239, respectively). Significantly lower operative blood loss was achieved using spinal anesthesia versus general anesthesia during elective CS. The differences between preoperative and postoperative blood values for both the study groups were statistically significant (p<0.001). CONCLUSION: This study demonstrates that spinal anesthesia is associated with a lower risk of operative blood loss than general anesthesia in low risk patients undergoing elective CS.
Authors: Michael Heesen; Thomas Hofmann; Sven Klöhr; Rolf Rossaint; Marc van de Velde; Jan Deprest; Sebastian Straube Journal: Acta Anaesthesiol Scand Date: 2013-09-05 Impact factor: 2.105
Authors: Joyce A Martin; Brady E Hamilton; Paul D Sutton; Stephanie J Ventura; T J Mathews; Sharon Kirmeyer; Michelle J K Osterman Journal: Natl Vital Stat Rep Date: 2010-08-09
Authors: José Villar; Guillermo Carroli; Nelly Zavaleta; Allan Donner; Daniel Wojdyla; Anibal Faundes; Alejandro Velazco; Vicente Bataglia; Ana Langer; Alberto Narváez; Eliette Valladares; Archana Shah; Liana Campodónico; Mariana Romero; Sofia Reynoso; Karla Simônia de Pádua; Daniel Giordano; Marius Kublickas; Arnaldo Acosta Journal: BMJ Date: 2007-10-30
Authors: Kastriot Dallaku; Haleema Shakur; Phil Edwards; Danielle Beaumont; Ian Roberts; Sumaya Huque; Maria Delius; Ulrich Mansmann Journal: Wellcome Open Res Date: 2016-12-15
Authors: Naser Al-Husban; Mohammad Sami Elmuhtaseb; Hedaieh Al-Husban; Mohammed Nabhan; Hamza Abuhalaweh; Yasmine Mohamed Alkhatib; Maysa Yousef; Bayan Aloran; Yousef Elyyan; Asma Alghazo Journal: Int J Womens Health Date: 2021-02-02
Authors: Kenas Wiskott; Raed Jebrin; Daniel Ioscovich; Sorina Grisaru-Granovsky; Aharon Tevet; Daniel Shatalin; Alexander Ioscovich Journal: Rom J Anaesth Intensive Care Date: 2020-12-31