Spinal versus General Anesthesia in Caesarean Section Regarding to Home Readiness Discharge

Abstract

Delivery by CS is becoming more frequent and is one of the most common major operative procedures performed worldwide. The number of operations performed annually worldwide is estimated by about 18.5 million cases. The type of anaesthesia used and the way by which it is managed by are considered important elements in determining the outcome of caesarean section as both general and spinal anaesthesia used in caesarean section have advantages and disadvantages, so there is no completely perfect way of anaesthesia to perform. The most important factors that determine the type of anaesthesia include; complications associated with pregnancy, parental choice, urgency of the operation, the experience of the anesthesiologist, medical history of the mother and the choice of the obstetrician. The objectives of this study was to compare between general and spinal anaesthesia regarding the maternal readiness for discharge and return to home. This is prospective randomised controlled trial study was conducted at Ain Shams University Maternity Hospital. 165parturient who undergone caesarian section had participated in this study, 83 parturient undergone Spinal anaesthesia and the other 82 undergone general anesthesia. Data concerning patient characteristics such as: age- BMI- parity-gestational age were collected. Data concerning post operative maternal recovery were collected: • Time from the end of operation till first analgesic request. • Total does of analgesic in 24 hours. • Presence of nausea or not at 6 hours intervals after the operation • Presence of vomiting or not at 6 hours intervals after the operation. • Time from the end of the operation till first passing flatus. • Time from the end of the operation till firstpassing stool.