General or Spinal Anesthesia for Cesarean Delivery

Completed

• Conditions: Anesthesia for Cesarean Delivery
• Interventions: Procedure: General Anesthesia; Procedure: Spinal Anesthesia

• Registration Number: NCT05727449
• Lead Sponsor: Istanbul Medeniyet University

Brief Summary

During the cesarean deliveries, one of the anesthesia techniques, regional anesthesia or general anesthesia (GA) is prefered. Spinal anesthesia (SA) is preferred among the regional anesthesia methods because the onset of anesthesia is faster and muscle relaxation is more suitable for cesarean section anesthesia. Although both methods have advantages and disadvantages, the anesthesia method to be chosen may vary depending on the condition of the mother and fetus.

The goal of this retrospective clinical trial is to compare general and spinal anesthesia in cesarean deliveries. The main questions it aims to answer are:

* Are the anesthesia techniques effect maternal outcome?

* Are the anesthesia techniques effect fetal outcome?

Detailed Description

Not available

Study Timeline

• Study Start: 2019-01-01
• Primary Completion: 2019-12-31
• Study Completion: 2021-01-01
• Study First Submitted: 2023-01-22
• Status Verified: 2023-02
• Study First Submitted QC: 2023-02-04
• Study First Posted: 2023-02-14
• Last Update Submitted: 2023-02-19
• Last Update Posted: 2023-02-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 862

Inclusion Criteria

The pregnant women who delivered with cesarean section

Exclusion Criteria

• The pregnant women who delivered with spontan vaginal delivery.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
General Anesthesia for Cesarean Delivery	General Anesthesia	-
Spinal Anesthesia for Cesarean Delivery	Spinal Anesthesia	-

Primary Outcome Measures

Name	Time	Method
Umbilical Cord Blood Lactate	at the time of birth	mmol/L
Apgar 5th minute score	5th minute after birth	The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health
Umbilical Cord Blood pH	at the time of birth	pH values from umblical cord blood sampling
Umbilical Cord Blood PCO2	at the time of birth	mmHg
Umbilical Cord Blood HCO3	at the time of birth	mEq/L
Umbilical Cord Blood Base Excess	at the time of birth	mEq/L
need for maternal intensive care	up to 24 hours	need for maternal intensive care
Apgar 1st minute score	1st minute after birth	The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health
need for neonatal intensive care	up to 24 hours	need for neonatal intensive care

Trial Locations

Locations (1)

Istanbul Medeniyet University; 🇹🇷 İ̇stanbul, Turkey