Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics

Naureen Perween

doi:doi:10.11648/j.ijacm.20241202.17

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Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics

Naureen Perween^*

Published in International Journal of Anesthesia and Clinical Medicine (Volume 12, Issue 2)

Received: 8 September 2024 Accepted: 26 September 2024 Published: 31 October 2024

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Abstract

Anaesthesia plays a major role in medical emergencies. In obstetric emergencies, general anaesthesia is preferred where rapid anesthesia is needed. Regional anaesthesia includes techniques like epidural, spinal, or combined spinal-epidural anesthesia and they produce loss of sensation without altering consciousness. The combined spinal-epidural improves epidural anesthesia quality during labor. Maternal mortality is a great concern worldwide. According to the World Health Organization, in the year 2020, 95% of maternal deaths occurred in low and lower-middle-income countries. Maternal mortality concern aims to reduce mortality rates. To reduce complication mentioned above, a primary literature survey of 34+ articles/papers has been performed to compare the implications of obstetrical anaesthesia, different anesthesia types and anaesthetic management. A comparative study based on the effective parameters like anesthetic management, Apgar score, maternal/neonatal outcome, maternal complication, maternal mortality, obstetric emergencies, and anesthetic preference has performed to assess the effect of general anaesthesia on maternal and neonatal outcomes, patient's safety, factors that affect anaesthetic management, identification and management of post-spinal hypotension in cesarean section, rapid assessment and management of obstetric and risk of failed intubation. The main contribution of the work is to summarize the outcomes to come up with significant observations which reveal that regional anaesthesia is a comparatively safe and common method of anaesthesia in non-emergent cases. The study also observed that the amalgamation of general anaesthesia with ‘rapid-Sequence induction and intubation’, and aspiration prophylaxis is the safest method of emergency management in cesarean section. The paper concludes that in non-emergent obstetric cases, regional anaesthesia is preferred over general anaesthesia, whereas the general anaesthesia is best option for emergent cases.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 12, Issue 2)
DOI	10.11648/j.ijacm.20241202.17
Page(s)	98-108
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anaesthetic Management, Apgar Score, Caesarean Section, Emergency Caesarean, Maternal and Fetal Complications, Maternal Mortality, Neonatal Outcomes

References

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[2]	Choi S. U. (2022). General anesthesia for cesarean section: are we doing it well? Anesthesia and pain medicine, 17(3), 256–26, https://doi.org/10.17085/apm.22196
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[5]	Sung, T. Y., Jee, Y. S., You, H. J., & Cho, C. K. (2021). Comparison of the effect of general and spinal anesthesia for elective cesarean section on maternal and fetal outcomes: a retrospective cohort study. Anesthesia and Pain Medicine, 16(1), 49-55, https://doi.org/10.17085/apm.20072
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[12]	Shen, C., Chen, L., Yue, C., & Cheng, J. (2022). Extending epidural analgesia for intrapartum cesarean section following epidural labor analgesia: a retrospective cohort study. The Journal of Maternal-Fetal & Neonatal Medicine, 35(6), 1127-1133, https://doi.org/10.1080/14767058.2020.1743661
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APA Style

Perween, N. (2024). Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics. International Journal of Anesthesia and Clinical Medicine, 12(2), 98-108. https://doi.org/10.11648/j.ijacm.20241202.17

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Perween, N. Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics. Int. J. Anesth. Clin. Med. 2024, 12(2), 98-108. doi: 10.11648/j.ijacm.20241202.17

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AMA Style

Perween N. Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics. Int J Anesth Clin Med. 2024;12(2):98-108. doi: 10.11648/j.ijacm.20241202.17

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@article{10.11648/j.ijacm.20241202.17,
  author = {Naureen Perween},
  title = {Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics
},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {12},
  number = {2},
  pages = {98-108},
  doi = {10.11648/j.ijacm.20241202.17},
  url = {https://doi.org/10.11648/j.ijacm.20241202.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20241202.17},
  abstract = {Anaesthesia plays a major role in medical emergencies. In obstetric emergencies, general anaesthesia is preferred where rapid anesthesia is needed. Regional anaesthesia includes techniques like epidural, spinal, or combined spinal-epidural anesthesia and they produce loss of sensation without altering consciousness. The combined spinal-epidural improves epidural anesthesia quality during labor. Maternal mortality is a great concern worldwide. According to the World Health Organization, in the year 2020, 95% of maternal deaths occurred in low and lower-middle-income countries. Maternal mortality concern aims to reduce mortality rates. To reduce complication mentioned above, a primary literature survey of 34+ articles/papers has been performed to compare the implications of obstetrical anaesthesia, different anesthesia types and anaesthetic management. A comparative study based on the effective parameters like anesthetic management, Apgar score, maternal/neonatal outcome, maternal complication, maternal mortality, obstetric emergencies, and anesthetic preference has performed to assess the effect of general anaesthesia on maternal and neonatal outcomes, patient's safety, factors that affect anaesthetic management, identification and management of post-spinal hypotension in cesarean section, rapid assessment and management of obstetric and risk of failed intubation. The main contribution of the work is to summarize the outcomes to come up with significant observations which reveal that regional anaesthesia is a comparatively safe and common method of anaesthesia in non-emergent cases. The study also observed that the amalgamation of general anaesthesia with ‘rapid-Sequence induction and intubation’, and aspiration prophylaxis is the safest method of emergency management in cesarean section. The paper concludes that in non-emergent obstetric cases, regional anaesthesia is preferred over general anaesthesia, whereas the general anaesthesia is best option for emergent cases.
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 year = {2024}
}

Copy | Download

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PY  - 2024
N1  - https://doi.org/10.11648/j.ijacm.20241202.17
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AB  - Anaesthesia plays a major role in medical emergencies. In obstetric emergencies, general anaesthesia is preferred where rapid anesthesia is needed. Regional anaesthesia includes techniques like epidural, spinal, or combined spinal-epidural anesthesia and they produce loss of sensation without altering consciousness. The combined spinal-epidural improves epidural anesthesia quality during labor. Maternal mortality is a great concern worldwide. According to the World Health Organization, in the year 2020, 95% of maternal deaths occurred in low and lower-middle-income countries. Maternal mortality concern aims to reduce mortality rates. To reduce complication mentioned above, a primary literature survey of 34+ articles/papers has been performed to compare the implications of obstetrical anaesthesia, different anesthesia types and anaesthetic management. A comparative study based on the effective parameters like anesthetic management, Apgar score, maternal/neonatal outcome, maternal complication, maternal mortality, obstetric emergencies, and anesthetic preference has performed to assess the effect of general anaesthesia on maternal and neonatal outcomes, patient's safety, factors that affect anaesthetic management, identification and management of post-spinal hypotension in cesarean section, rapid assessment and management of obstetric and risk of failed intubation. The main contribution of the work is to summarize the outcomes to come up with significant observations which reveal that regional anaesthesia is a comparatively safe and common method of anaesthesia in non-emergent cases. The study also observed that the amalgamation of general anaesthesia with ‘rapid-Sequence induction and intubation’, and aspiration prophylaxis is the safest method of emergency management in cesarean section. The paper concludes that in non-emergent obstetric cases, regional anaesthesia is preferred over general anaesthesia, whereas the general anaesthesia is best option for emergent cases.

VL  - 12
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Author Information

Naureen Perween

College of Paramedical, Jawaharlal Nehru Medical College and Hospital, Faculty of Medicine, Aligarh Muslim University, Aligarh, India

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http://orcid.org/0009-0002-2803-8791

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Perween, N. (2024). Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics. International Journal of Anesthesia and Clinical Medicine, 12(2), 98-108. https://doi.org/10.11648/j.ijacm.20241202.17

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ACS Style

Perween, N. Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics. Int. J. Anesth. Clin. Med. 2024, 12(2), 98-108. doi: 10.11648/j.ijacm.20241202.17

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AMA Style

Perween N. Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics. Int J Anesth Clin Med. 2024;12(2):98-108. doi: 10.11648/j.ijacm.20241202.17

Copy | Download

@article{10.11648/j.ijacm.20241202.17,
  author = {Naureen Perween},
  title = {Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics
},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {12},
  number = {2},
  pages = {98-108},
  doi = {10.11648/j.ijacm.20241202.17},
  url = {https://doi.org/10.11648/j.ijacm.20241202.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20241202.17},
  abstract = {Anaesthesia plays a major role in medical emergencies. In obstetric emergencies, general anaesthesia is preferred where rapid anesthesia is needed. Regional anaesthesia includes techniques like epidural, spinal, or combined spinal-epidural anesthesia and they produce loss of sensation without altering consciousness. The combined spinal-epidural improves epidural anesthesia quality during labor. Maternal mortality is a great concern worldwide. According to the World Health Organization, in the year 2020, 95% of maternal deaths occurred in low and lower-middle-income countries. Maternal mortality concern aims to reduce mortality rates. To reduce complication mentioned above, a primary literature survey of 34+ articles/papers has been performed to compare the implications of obstetrical anaesthesia, different anesthesia types and anaesthetic management. A comparative study based on the effective parameters like anesthetic management, Apgar score, maternal/neonatal outcome, maternal complication, maternal mortality, obstetric emergencies, and anesthetic preference has performed to assess the effect of general anaesthesia on maternal and neonatal outcomes, patient's safety, factors that affect anaesthetic management, identification and management of post-spinal hypotension in cesarean section, rapid assessment and management of obstetric and risk of failed intubation. The main contribution of the work is to summarize the outcomes to come up with significant observations which reveal that regional anaesthesia is a comparatively safe and common method of anaesthesia in non-emergent cases. The study also observed that the amalgamation of general anaesthesia with ‘rapid-Sequence induction and intubation’, and aspiration prophylaxis is the safest method of emergency management in cesarean section. The paper concludes that in non-emergent obstetric cases, regional anaesthesia is preferred over general anaesthesia, whereas the general anaesthesia is best option for emergent cases.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Comparative Study of General Anesthesia and Regional Anesthesia in Obstetrics

AU  - Naureen Perween
Y1  - 2024/10/31
PY  - 2024
N1  - https://doi.org/10.11648/j.ijacm.20241202.17
DO  - 10.11648/j.ijacm.20241202.17
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 98
EP  - 108
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20241202.17
AB  - Anaesthesia plays a major role in medical emergencies. In obstetric emergencies, general anaesthesia is preferred where rapid anesthesia is needed. Regional anaesthesia includes techniques like epidural, spinal, or combined spinal-epidural anesthesia and they produce loss of sensation without altering consciousness. The combined spinal-epidural improves epidural anesthesia quality during labor. Maternal mortality is a great concern worldwide. According to the World Health Organization, in the year 2020, 95% of maternal deaths occurred in low and lower-middle-income countries. Maternal mortality concern aims to reduce mortality rates. To reduce complication mentioned above, a primary literature survey of 34+ articles/papers has been performed to compare the implications of obstetrical anaesthesia, different anesthesia types and anaesthetic management. A comparative study based on the effective parameters like anesthetic management, Apgar score, maternal/neonatal outcome, maternal complication, maternal mortality, obstetric emergencies, and anesthetic preference has performed to assess the effect of general anaesthesia on maternal and neonatal outcomes, patient's safety, factors that affect anaesthetic management, identification and management of post-spinal hypotension in cesarean section, rapid assessment and management of obstetric and risk of failed intubation. The main contribution of the work is to summarize the outcomes to come up with significant observations which reveal that regional anaesthesia is a comparatively safe and common method of anaesthesia in non-emergent cases. The study also observed that the amalgamation of general anaesthesia with ‘rapid-Sequence induction and intubation’, and aspiration prophylaxis is the safest method of emergency management in cesarean section. The paper concludes that in non-emergent obstetric cases, regional anaesthesia is preferred over general anaesthesia, whereas the general anaesthesia is best option for emergent cases.

VL  - 12
IS  - 2
ER  -

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