Complication of Spinal Anesthesia in Caesarean Section

Abstract

Objective

            To evaluate the frequency of maternal complications during spinal anesthesia and within 48 hour post C/S .

Patients and Methods :-

The Study was conducted in the department of gynecology in AL-Zahra'a Teaching Hospital . The Study comprised of 300 patients who underwent caesarean section under spinal anesthesia alone or with use of assisted drugs for sedation during induction of spinal anesthesia .

Patients were followed within  48hre post – operative to see any complication which were documented .

Result

48.33% (n = 145) were between 17 – 25 years , 27% (n = 81) were between 26 – 30 y . Regarding mode of admission 61.33% (n = 184) booked while 38.67% (n = 116) were unbooked . parity distribution revealed 65% (n = 195) multigravida and 35% (n = 105) primigravida .

            35% (n = 105) suffered from hypotension (Intra – operatively) 15.33% (n = 46) from hypotension (post operatively) .

            Other complication occur shortly after operation include  , headache 11% (n = 33) , shiveriy 7% (n = 21) , Backache 4% (n = 12) , Bradycardia 2.33% (n = 7) and urinary retention 2% (n = 6) .

            However , 38 , 67% (n = 116) had no complication of spinal anaesthesia .

Conclusion

Spinal  anaesthesiaconveyssignificant advantages due to the simplicity of its use and rapid onset of action.