Anesthetic experiences in cesarean surgery: A retrospective study

Authors : Çağdaş Baytar, Merve Sena Baytar, Zeynep Koç, Rahşan Dilek Okyay, Özcan Pişkin, Hilal Ayoğlu

Pages : 389-394

Doi:10.29058/mjwbs.1800810

View : 43 | Download : 64

Publication Date : 2025-12-31

Article Type : Research Paper

Abstract :Aim: To evaluate the anesthetic techniques used for cesarean deliveries and their perioperative outcomes at Zonguldak Bülent Ecevit University Hospital. Material and Methods: This retrospective study included 1,229 women who underwent cesarean delivery between January 2018 and September 2019 at Zonguldak Bülent Ecevit University Hospital. Demographic characteristics, anesthesia type, 1- and 5-minute APGAR (activity, pulse, grimace, appearance, respiration) scores, and perioperative complications were assessed. Results: Spinal anesthesia was performed in 58.4% of the cases, while general anesthesia was used in 41.3%. The APGAR scores at 1 and 5 minutes were significantly higher in the spinal group (p < 0.001). The requirement for ephedrine was significantly higher in the spinal anesthesia group (36.9%) compared to the general anesthesia group (3.7%). The duration of anesthesia was shorter in the spinal group (p < 0.001), whereas the length of hospital stay did not differ significantly between the groups (p = 0.086). Conclusion: Spinal anesthesia represents a safe and effective technique for cesarean delivery, demonstrating improved neonatal outcomes. Nevertheless, the increased incidence of hypotension and the need for vasopressor support necessitate vigilant hemodynamic monitoring.
Keywords : Sezaryen, spinal anestezi, genel anestezi, APGAR skoru, hipotansiyon

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