E-ISSN: 1309-0380
    Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study
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    Original Investigation
    VOLUME: 16 ISSUE: 3
    P: 158-163
    September 2015

    Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study

    J Turk Ger Gynecol Assoc 2015;16(3):158-163
    DOI: 10.5152/jtgga.2015.15034
    Hüseyin Aksoy 1
    Ülkü Aksoy 2
    Burak Yücel 3
    Sezin Saygı Özyurt 4
    Gökhan Açmaz 1
    Mustafa Alparslan Babayiğit 5
    Günhan Gökahmetoğlu 6
    Turgut Aydın 3
    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 Acibadem 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
    No information available.
    No information available
    Received Date: 27.02.2015
    Accepted Date: 29.04.2015
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    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.

    Keywords: Operative blood loss, cesarean section, anesthesia

    References

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