Comparison of spinal versus general anaesthesia for patients undergoing lower segment caesarean section

The objective of this study was to compare post operative benefits of spinal versus general anaesthesia after caesarean section delivery. Randomized control trial [RCT] Place and Duration of the study: The study was conducted at the Gynaecology and Obstetrics Department, Combined Military Hospital Sialkot for one year from January 2007 to January 2008. Subject and Method: A total of of 100 full term pregnant hospitalised patients registered for caesarean section were selected for this study by dividing them equally into study [spinal] and control [general] groups from 18 to 37 years age. Both groups were compared. Outcome variables were appearance, pulse, grimace, activity and respiration [Apgar] score of new born, post-operative hospital stay, throat irritation, post-operative Cough, chest infection, headache, backache and nausea /vomiting. The data was analyzed by SPSS-10 for significance where applicable. The study revealed that the differences of both major variables, the Apgar score among babies born and post operative hospital stay between study and control groups were insignificant [p>0.05]. However throat irritation, postoperative cough, and chest infections were significantly less frequent [p<0.05] while frequencies of headache, backache and nausea/vomiting were higher after spinal anaesthesia [p>0.05]. The post operative benefits of spinal anaesthesia cannot be advocated on a minor factor bases. Comparison of postoperative complications of caesarean section after spinal or general anaesthesia revealed no significant major differences. The minor differences can be easily managed by the best hospital services and competent personnel. Each type of anaesthesia can be used safely