A Comparative Study about the Effect of General Anesthesia and Spinal Anesthesia on Changes in Blood Parameters after Cesarean Section in Doctor Ganjavian Hospital in Dezfool City in 2013

Abstract: According to some studies about halogenated drugswhich used in general anesthesia for performing cesarean section, it is possible that they increased the losingblood during surgery. Thus this study was performed by theaim that compared the effect of general anesthesia and spinal anesthesia on changes in blood parameters after cesarean section.This study was analytic- cross sectional and was performed on 180 women who werecandidates for cesareansection and they were admitted in labor unit of Doctor Ganjavian hospital in Dezful in 2013.Exclusion criteria of this study were included: heart problems, coagulation disorders, anemia, preeclampsia, atonic (Polyhydramnios, multiparity, etc.), weight at birth which was greater than 4 kg, and the operation which takes long time (above 90 min).The research toolwas questionnaire which included a consent form and demographic information. Four Blood sampleswere taken from each patient (two samples before and two samples after delivery) for hematology tests.The mean age was 26.8± 0.8 .Ninety patients used spinal anesthesia for caesarean section.TheDuration of surgery and anesthesia didn’t differ in the two groups ofgeneral anesthesia and spinal anesthesia (p = 0.003 and CI = 95%).According to this study the amount of the hemoglobin, hematocrit, and platelet has significantly decreased in each of the two groups of general anesthesia and spinal anesthesia compare to the preoperative (p <0.008 and CI = 95%).As well as their mean difference in patients who were undergoing general anesthesia was significantly higher than patients who were undergoing spinal anesthesia(before and after delivery). (p = 0.002, CI = 95%).This study showed that the amount of decrease in hematocrit after cesarean section in patients who were under general anesthesiawas higher than patients who were under spinal anesthesia.Soit seems that the spinal anesthesiais a better choice for analgesiain laboring;because spinal anesthesia has fewer complications than general anesthesia.It is suggested to choose a suitable method by performing further studies.

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[Hadi ZareMarzouni, zohreh lavasani, Shirin Riahi, Zahra Riahi, Reza Najibpour (2014); A Comparative Study about the Effect of General Anesthesia and Spinal Anesthesia on Changes in Blood Parameters after Cesarean Section in Doctor Ganjavian Hospital in Dezfool City in 2013 Int. J. of Adv. Res. 2 (8). 0] (ISSN 2320-5407). www.journalijar.com

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