Comparison of The Effects of General and Spinal Anesthesia for Cesarean Delivery on Maternal and Fetal Outcomes: A Retrospective Analysis of Data in a Third Level Hospital
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia for Cesarean Delivery
- Sponsor
- Istanbul Medeniyet University
- Enrollment
- 862
- Locations
- 1
- Primary Endpoint
- Apgar 5th minute score
- Status
- Completed
- Last Updated
- 3 years ago
Overview
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?
Investigators
mesure gul nihan ozden
Medical Doctor
Istanbul Medeniyet University
Eligibility Criteria
Inclusion Criteria
- •The pregnant women who delivered with cesarean section
Exclusion Criteria
- •The pregnant women who delivered with spontan vaginal delivery.
Outcomes
Primary Outcomes
Apgar 5th minute score
Time Frame: 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
Time Frame: at the time of birth
pH values from umblical cord blood sampling
Umbilical Cord Blood PCO2
Time Frame: at the time of birth
mmHg
Umbilical Cord Blood HCO3
Time Frame: at the time of birth
mEq/L
Umbilical Cord Blood Base Excess
Time Frame: at the time of birth
mEq/L
Umbilical Cord Blood Lactate
Time Frame: at the time of birth
mmol/L
need for maternal intensive care
Time Frame: up to 24 hours
need for maternal intensive care
Apgar 1st minute score
Time Frame: 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
Time Frame: up to 24 hours
need for neonatal intensive care