Tropical Journal of Pharmaceutical Research

Original Research Article | OPEN ACCESS

Regional versus general anesthesia for different categories of caesarean deliveries amongst Chinese women: A retrospective cohort analysis

Li Xu¹, Hao Zhang², Xiaoguang Li¹

¹Department of Anesthesiology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100060; ²Department of Anesthesiology, Beijing Longfu Hospital, Beijing 100010, China.

For correspondence:- Xiaoguang Li Email: GracielaWisejuj@yahoo.com Tel:+861085969869

Accepted: 28 October 2019 Published: 30 November 2019

Citation: Xu L, Zhang H, Li X. Regional versus general anesthesia for different categories of caesarean deliveries amongst Chinese women: A retrospective cohort analysis. Trop J Pharm Res 2019; 18(11):2439-2445 doi: 10.4314/tjpr.v18i11.30

© 2019 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..

Abstract

Purpose: To study anesthetic techniques utilized in various caesarian deliveries, justification for preference of general anesthesia, and failure of regional anesthesia in pregnant Chinese women.

Methods: Clinical data for 512 Chinese women who successfully delivered through caesarian section were used in this analysis. Data comprising information on anesthetic techniques used, explanations for choice of general anesthesia, failure of regional anesthesia, and levels of supervision were collected and analyzed.

Results: Ninety-four of the enrolled women delivered through caesarian category 1, while 112 women delivered via caesarian category 2. Deliveries in caesarian categories 3 and 4 applied to 84 and 222 women, respectively. General anesthesia was used for 219 women, but this procedure was refused by 106 women, while the physician chose it for 34 women. Thirty-six women opted for general anesthesia, while regional anesthesia was used in 293 women. Ten women needed a change from regional anesthesia to general anesthesia due to inadequate regional block, accelerated delivery, and other reasons. General anesthesia was preferred in 17 % of emergency categories, 40 % of semi-emergency categories, and 43 % of elective categories.

Conclusion: Patient awareness, training of health professionals, and multi-disciplinary correspondence will be helpful to caregivers in making consensus decisions with respect to the best anesthesia technique for cesarean delivery.

Keywords: Emergency delivery, General anesthesia, Caesarean delivery, Patient awareness, Regional anesthesia