Effect of regional vs general anesthesia on vital functions after cesarean section: a single center experience

Hypertens Pregnancy. 2022 Aug-Nov;41(3-4):198-203. doi: 10.1080/10641955.2022.2124417. Epub 2022 Sep 16.

Abstract

Background: The aim was to determine the effect of regional anesthesia (RA) on postoperative vital functions in contrast to general endotracheal anesthesia (GEA) after the cesarean section.

Methods: Prospective cohort study included consecutive term pregnant women delivered by cesarean section (GEA, n = 284; RA, n = 249).

Results: Higher levels of blood pressure and heart rate, as well as lower levels of pulse oximetry were found for GEA in contrast to RA (p < 0.001). The application of RA presented less side-effects (p < 0.05).

Conclusions: RA for cesarean section should be preferred when balancing the risks and benefits for the mother and fetus.

Keywords: Cesarean section; anesthesia; blood pressure; general; heart rate; pulse oximetry; regional; vital function.

MeSH terms

  • Anesthesia, General / adverse effects
  • Anesthesia, Obstetrical*
  • Cesarean Section* / adverse effects
  • Female
  • Humans
  • Oximetry
  • Pregnancy
  • Prospective Studies