Clinical Study of Anesthesia for Ceasarean Section / 대한마취과학회지

ABSTRACT

Total 220 cases of general and spinal anesthesia for cesarean section were performed in dept. of anesthesiology, Ewha Womans University Hospital from January to September 1977. The followings are results of the clinical observations on 220 case 1) Indications for cesarean section were, in oder of frequency; C.P.D. (35%), malpresentation(15%), previous cesarean section(17.3%), fetal distress(9%), toxemia(4.1%) and abnormal placenta(3.6%). Of the total 220 cases, 30%(66 cases) had general anesthesia and 70%(154 cases) spinal anesthesia. 2) Blood pressure change during general anesthesia revealed a mild rising tendency while a slight dropping tendency was observed in spinal anesthesia. 3) Hemoglobin and hematocrit values were within normal range in majority except in abruptio placenta and placenta previa cases where low hemoglobin and hematocrit were observed. 4) The value of Apgar score was not significantly different between two groups of different anesthetic technique, general and spinal. 5) The interval time of induction to delivery was within 10 minutes in general anesthesia while over 15 minutes in spinal anesthesia. 6) During the operation, the amount of blood loss was less in non-halothane group of general anesthesia compared to halothane group. Among spinal anesthesia cases, the group of repeated cesarean section had more blood loss than primary casarean section group. 7) The consistency and quality of uterine contraction after delivery was not significantly different among general as well as spinal anesthesia groups. 8) The majority of the cases received 15 to 20 IU of pitocin for the postpartum uterine contraction during the period of the current study. 9) Of the total cases, 10.5%(23 cases) received whole blood transfusion during the operation. 10) The intravenous administration of 10 mg valium to the patients who got spinal anesthesia caused antegrade amnesia in 18. 8% (29 cases) of the patients.