@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2013;19(3):123-128
ISSN: 2252-0805 The Horizon of Medical Sciences 2013;19(3):123-128
Comparison of Complications of General and Spinal Anesthesia after Cesarean
ARTICLE INFO
Article Type
Original ResearchAuthors
Davarinia A. M. Gh. (1)Zamanian Ghorbani F. (2)
Hamzei A. (2)
Nazemi S. H. (*)
Tolide-ie H. M. (3)
(*) Department of Operating & Anesthesia, School of Para-Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
(1) Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
(2) Department of Operating & Anesthesia, School of Para-Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
(3) Department of Public Health, Faculty of Health, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address:Phone: +985337227749
Fax: +985337223814
nazemi.hossein@yahoo.com
Article History
Received: September 8, 2012Accepted: April 21, 2013
ePublished: October 3, 2013
ABSTRACT
Aims
Most of the elective and emergence cesarean sections in the world's credible treatment centers are performed under spinal anesthesia. Either spinal or general anesthesia is associated with complications. The use of spinal anesthesia is recommended because of maintaining the safety of mother and her newborn. This study aimed to determine the incidence of complications related to spinal and general anesthesia after cesarean section.
Materials & Methods This cross-sectional, analytic study was performed in 2011 on all candidate women for elective cesarean section referred to 22nd of Bahman Hospital in Gonabad city, Iran and 122 cases were selected by simple sampling method. The data were collected with a researcher-made questionnaire include the demographic, pre-operation and post-operation information. These data were analyzed with SPSS 16 and independent T and Chi square tests.
Findings There were significant relations between the incidence of sore throat(p=0.001), muscle pain (p=0.002), rapid return of pain after surgery (p=0.001) and headache (p=0.047) after cesarean section and the type of anesthesia. There was only a significant relation between headache and satisfaction of the pregnant women from cesarean section (p=0.21). There was no significant relation between the age of pregnant woman and any types of complications.
Conclusion The rate of sore throat, muscle pain and rapid return of pain after surgery is higher after general anesthesia than spinal anesthesia.
Materials & Methods This cross-sectional, analytic study was performed in 2011 on all candidate women for elective cesarean section referred to 22nd of Bahman Hospital in Gonabad city, Iran and 122 cases were selected by simple sampling method. The data were collected with a researcher-made questionnaire include the demographic, pre-operation and post-operation information. These data were analyzed with SPSS 16 and independent T and Chi square tests.
Findings There were significant relations between the incidence of sore throat(p=0.001), muscle pain (p=0.002), rapid return of pain after surgery (p=0.001) and headache (p=0.047) after cesarean section and the type of anesthesia. There was only a significant relation between headache and satisfaction of the pregnant women from cesarean section (p=0.21). There was no significant relation between the age of pregnant woman and any types of complications.
Conclusion The rate of sore throat, muscle pain and rapid return of pain after surgery is higher after general anesthesia than spinal anesthesia.
CITATION LINKS
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[25] Seok Lee J. Spinal anesthesia: How can we improve patient satisfaction? Korean Soc Anesthesiol. 2010;59(4):231-2.
[26] Zamani M, Mansour Genaati M, Hajian P, Nasrolahi SH. Comparison of hemoglobin concentration after cesarean section between two methods: General anesthesia and spinal anesthesia. Iran J Obstetrics Gynecol Infertil. 2008;11(2):55- 60. [Persian]
[27] Hasani M, Mahfozi E, Barkati MR. Comparison of the effects of general anesthesia and regional anesthesia on the amount of bleeding during elective cesarean section by comparing pre-and postoperative hematocrit. Sci J Forensic Med. 2001;7(25):15-7. [Persian]
[28] Madineh H, Abedin ZAde M, Ghaheri H. Comparison of pain survey after cesarean section with general anesthesia and spinal anesthesia. Shahrekord Univ Med Sci J. 2004;4(6):43-50. [Persian]
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[30] Wang CH, Cheng KW, Neoh CA, Tang S, Jawan B, Lee JH. Comparison of the incidence of postpartum low back pain in natural childbirth and cesarean section with spinal anesthesia. Acta Anaesthesiol Sin. 1994;32(4):243-6.
[31] Noruzi A, Pazoki SH, darabi M. Comparison of general anesthesia and spinal anesthesia in cesarean section on Pgarnvzadan choice. Arak Univ Med Sci J. 2007;10(2):1-8. [Persian]
[32] Zirak N, Soltani G, Pakravan SH, Taherzade M, Mashayekhi Z. Evaluation of the prevalence of shoulder pain after cesarean with general anesthesia. Iran J Obstetrics Gynecol Infertil. 2011;14(3):8-12. [Persian]
[2] Mohammadbeigi A, Tabatabaee H, Mohammad Salehi N, Yazdani M. Factors influencing cesarean delivery method in Shiraz hospitals. Iran J Nurs. 2009;56(21):45-37. [Persian]
[3] Mobaraki A, Zadehbagheri G, ZandiGhashghaie K. Prevalence of cesarean section and the related causes in Yasuj. Yasuj Univ Med Sci J. 2005;39(10):65-72. [Persian]
[4] Mobaraki A, Bagherizadeh G. Prevalence of cesarean section and the related causes in Kohgiloieh and Boyerahmad province. Iran J Obstetrics Gynecol Infertil. 2005;1(8):73-8. [Persian]
[5] Farzan A, Javaheri S. Cesarean section and related factors in governmental and private hospitals of Isfahan. J Health Syst Res. 2010;6(1):79-85. [Persian]
[6] Kaningham G. Williamls pregnancy and delivery. Ghazi Jahanir B, translator. Iran: Golban Publication; 2010. [Persian]
[7] Mohamadbeigi A, Mohammadsalehi N. Modeling of associated factors that affect the method of pregnancy termination. Iran J Obstetrics Gynecol Infertil. 2009;12(1):17-24. [Persian]
[8] Fabri RH, Murta EFC. Social issues in reproductive medicine: Socioeconomic factors and cesarean section rates. Int J Gynecol Obstetric. 2002;76(1):88.
[9] Kito K, Kito H, Shibata M. The effect of varied doses of epinephrine on duration of Lidocaine spinal anesthesia in thethoracic and lumbosacral dermatomes. Anesth Analg. 1998;86(5):1018-22.
[10] Chiu AA, Liu S, Carpenter RL, Kasman GS, Pollock JE, Neal JM. The effects of epinephrine on Lidocaine spinal anesthesia: A cross-over study. Anesth Analg. 1995;80(4):735-9.
[11] Turker G. Effects of adding epinephrine plus fentanyl to low-dose Lidocaine for spinal anesthesia in outpatient knee arthroscopy. Acta Anaesthesiol Scand. 2003;47(8):986-92.
[12] Ashok J. Complication of regional and general anaesthesia in obstetric practice. Indian J Anaesth. 2010;54(5):415-20.
[13] Jahani Shorab N, Mirza Khani K, Hasanzadeh M. Comparison of the side effects of general and spinal anesthesia in cesarean section of women referring two hospitals in Torbat-e-heidariyeh. Sabzevar Univ Med Sci J. 2005;2(2):28-54. [Persian]
[14] Kan RK, Lew E, Yeo SW, Thomas E. General anesthesia for caesarian section in a Singapor maternity hospital. Int J Obstet Anesth. 2004;13(4):221-6.
[15] Sadeghi A, Razavi S, Gachkar L, Shayeghi SH. Factors influencing choice of anesthesia in cesarean patients. Iran Soc Anesth Intensive Care. 2009;30(65):51-7. [Persian]
[16] Juraj S, Randall P, Robert T, Slavica K, Tasha L, Mariella D, et al. Anesthesia for cesarean delivery and learning disabilities in a population-based birth cohort. Anesthesiology. 2009;111(2):302-10.
[17] Khadeen Ch, Joanne E, Pamela F, Guohua Li. Epidemiology of anesthesia-related complications in labor and delivery, New York state, 2002-2005. Anesth Analg. 2009;109(4):1174-81.
[18] Akhavanakbari GH, Akhavanakbari P, Kahnamoieaghdam F, Entezariasl M. Comparison thiopental sodium or propofol induction of general anesthesia and spinal anesthesia on neonatal Apgar in cesarean section. Tabriz Univ Med Sci J. 2010;32(1):7-11. [Persian]
[19] Nasivanpoor S, Javaherforoosh F, PipelZadeh MR, Dehdashty A. Comparison of intrathecal fentanyl and sufentanil combined with lidocaine in elective cesarean section. Iran Soc Anesthesiol Intensive Care. 2009;31(67):33-48. [Persian]
[20] Flug AE, Murphy TM, Butler SH. The effect of postoperative epidural analgesia. Anesthesiology. 1974;41(1):8-17.
[21] Mitani AA, Tsen LC. General anesthesia for cesarean delivery at a tertiary care hospital from 2000 to 2005: A retrospective analysis and 10-year update: A palanisamy. Int J Obstetric Anesth. 2011;20(1):10-6.
[22] Eun KJ, Hyang Lee Ji, Ju Kim E, Woo Min M, Seouk Ban J, Gon Lee S. The effect of type of anesthesia on intraand postoperative blood loss at elective cesarean section. Korean J Anesthesiol. 2012;62(2):125-9.
[23] Jaishri B, Namita A, Pratima S. Synergistic effect of intrathecal fentanyl and bupivacaine in spinal anesthesia for cesarean section. BMC Anesthesiol. 2005;5(1):5.
[24] Rhee Won J, Jong Chung C, Hee Lim Y, Han Lee K, Cheol Lee S. Factors in patient dissatisfaction and refusal regarding spinal anesthesia. Korean Soc Anesthesiol. 2010;59(4):260-4.
[25] Seok Lee J. Spinal anesthesia: How can we improve patient satisfaction? Korean Soc Anesthesiol. 2010;59(4):231-2.
[26] Zamani M, Mansour Genaati M, Hajian P, Nasrolahi SH. Comparison of hemoglobin concentration after cesarean section between two methods: General anesthesia and spinal anesthesia. Iran J Obstetrics Gynecol Infertil. 2008;11(2):55- 60. [Persian]
[27] Hasani M, Mahfozi E, Barkati MR. Comparison of the effects of general anesthesia and regional anesthesia on the amount of bleeding during elective cesarean section by comparing pre-and postoperative hematocrit. Sci J Forensic Med. 2001;7(25):15-7. [Persian]
[28] Madineh H, Abedin ZAde M, Ghaheri H. Comparison of pain survey after cesarean section with general anesthesia and spinal anesthesia. Shahrekord Univ Med Sci J. 2004;4(6):43-50. [Persian]
[29] Miller RD. Midwifery basic of anesthesia 2007. 2nd ed. Moradimoghadam O, translator. Tehran: Andishe Rafie Publication; 2007. [Persian]
[30] Wang CH, Cheng KW, Neoh CA, Tang S, Jawan B, Lee JH. Comparison of the incidence of postpartum low back pain in natural childbirth and cesarean section with spinal anesthesia. Acta Anaesthesiol Sin. 1994;32(4):243-6.
[31] Noruzi A, Pazoki SH, darabi M. Comparison of general anesthesia and spinal anesthesia in cesarean section on Pgarnvzadan choice. Arak Univ Med Sci J. 2007;10(2):1-8. [Persian]
[32] Zirak N, Soltani G, Pakravan SH, Taherzade M, Mashayekhi Z. Evaluation of the prevalence of shoulder pain after cesarean with general anesthesia. Iran J Obstetrics Gynecol Infertil. 2011;14(3):8-12. [Persian]