Regional block versus general anaesthesia for caesarean section and neonatal outcomes: a population-based study

Anaesthesia guidelines recommend regional anaesthesia for most caesarean sections due to the risk of failed intubation and aspiration with general anaesthesia. However, general anaesthesia is considered to be safe for the foetus, based on limited evidence, and is still used for caesarean sections. C...

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Bibliographic Details
Published in:BMC medicine 2009-04, Vol.7 (20), p.20-20, Article 20
Main Authors: Algert, Charles S, Bowen, Jennifer R, Giles, Warwick B, Knoblanche, Greg E, Lain, Samantha J, Roberts, Christine L
Format: Article
Language:English
Subjects:
Adult
Anesthesia, Conduction - adverse effects
Anesthesia, Conduction - methods
Anesthesia, General - adverse effects
Anesthesia, General - methods
Apgar Score
Cesarean section
Cesarean Section - methods
Complications and side effects
Diseases
Female
General anesthesia
Health risk assessment
Humans
Infant, Newborn
Infants (Newborn)
Intubation - utilization
Patient outcomes
Pregnancy
Regional anesthesia
Treatment Outcome
Young Adult
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Summary:Anaesthesia guidelines recommend regional anaesthesia for most caesarean sections due to the risk of failed intubation and aspiration with general anaesthesia. However, general anaesthesia is considered to be safe for the foetus, based on limited evidence, and is still used for caesarean sections. Cohorts of caesarean sections by indication (that is, planned repeat caesarean section, failure to progress, foetal distress) were selected from the period 1998 to 2004 (N = 50,806). Deliveries performed under general anaesthesia were compared with those performed under spinal or epidural, for the outcomes of neonatal intubation and 5-minute Apgar (Apgar5)
ISSN:1741-7015
1741-7015
DOI:10.1186/1741-7015-7-20