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Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study.
Aksoy, Hüseyin; Aksoy, Ülkü; Yücel, Burak; Özyurt, Sezin Saygi; Açmaz, Gökhan; Babayigit, Mustafa Alparslan; Gökahmetoglu, Günhan; Aydin, Turgut.
Afiliación
  • Aksoy H; Department of Obstetrics and Gynecology, Kayseri Military Hospital, Kayseri, Turkey.
  • Aksoy Ü; Department of Obstetrics and Gynecology, Kayseri Memorial Hospital, Kayseri, Turkey.
  • Yücel B; Department of Obstetrics and Gynecology, Kayseri Acibadem Hospital, Kayseri, Turkey.
  • Özyurt SS; Clinic of Obstetrics and Gynecology, Kayseri Traininig and Research Hospital, Kayseri, Turkey.
  • Açmaz G; Clinic of Obstetrics and Gynecology, Kayseri Traininig and Research Hospital, Kayseri, Turkey.
  • Babayigit MA; Department of Public Health and Epidemiology, Gülhane Military Medical Academy, Ankara, Turkey.
  • Gökahmetoglu G; Clinic of Anesthesiology, Kayseri Traininig and Research Hospital, Kayseri, Turkey.
  • Aydin T; Department of Obstetrics and Gynecology, Kayseri Acibadem Hospital, Kayseri, Turkey.
J Turk Ger Gynecol Assoc ; 16(3): 158-63, 2015.
Article en En | MEDLINE | ID: mdl-26401109
OBJECTIVE: We aimed to compare the effect of general and spinal anesthesia on maternal blood loss in elective cesarean section (CS). MATERIAL AND METHODS: This was a prospective randomized study and included 418 healthy pregnant women with a term uncomplicated singleton pregnancy between 37 and 41 weeks of gestation. The study participants were randomly divided into two groups: the general anesthesia group and spinal anesthesia group. CSs were all performed using the same surgical technique, and within the groups, the same anesthetic procedures were used (either general or spinal). The primary outcome for this study was operative blood loss. Hemoglobin and hematocrit concentrations were compared between the two groups. RESULTS: The preoperative hemoglobin and hematocrit levels were similar in the both groups (p=0.08 and p=0.239, respectively). Significantly lower operative blood loss was achieved using spinal anesthesia versus general anesthesia during elective CS. The differences between preoperative and postoperative blood values for both the study groups were statistically significant (p<0.001). CONCLUSION: This study demonstrates that spinal anesthesia is associated with a lower risk of operative blood loss than general anesthesia in low risk patients undergoing elective CS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Idioma: En Revista: J Turk Ger Gynecol Assoc Año: 2015 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Idioma: En Revista: J Turk Ger Gynecol Assoc Año: 2015 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía