What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Elective caesarean section (n=102). Intervention: Neuraxial anaesthesia vs. General anaesthesia. Primary outcome: Seeing the baby within the first 24 h postoperatively (p=<0.001).

November 1, 2010Journal of Obstetrics and Gynaecology27 citations

Anaesthesia preference, neuraxial vs general, and outcome after caesarean section

Q: What are the key findings of this study?

Neuraxial anaesthesia was preferred by 80% of parturients for future caesarean sections and resulted in higher rates of seeing the baby (98% vs 51%, p<0.001) compared to general anaesthesia.

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AFArgyro FassoulakiNational and Kapodistrian University of Athens ‪S‪Chryssoula StaikouNational and Kapodistrian University of Athens AMAikaterini MelemeniNational and Kapodistrian University of Athens

Key Result

Neuraxial anaesthesia was preferred by 80% of parturients for future caesarean sections and resulted in higher rates of seeing the baby (98% vs 51%, p<0.001) compared to general anaesthesia.

Study Design

Type

Cross-Sectional (n=102)

Structured PICO

Does neuraxial anaesthesia improve patient satisfaction and outcomes compared to general anaesthesia in parturients undergoing elective caesarean section?

Population

102 parturients who had previously experienced both neuraxial and general anaesthesia for elective caesarean section completed a comparative questionnaire.

Exposure

Neuraxial anaesthesia

Comparator

General anaesthesia

Outcome

Patient preference for future caesarean sectionpatient reported

Neuraxial anaesthesia is strongly preferred by parturients for caesarean section due to better postoperative pain control, shorter hospital stay, and higher overall satisfaction compared to general anaesthesia.

Main Result

Absolute Event Rate: 98% vs 51%

p-value: p=<0.001

Abstract

We investigated parturients' preference for neuraxial vs general anaesthesia, while they have experienced both techniques in the past. A total of 102 parturients who underwent elective caesarean section under general or neuraxial anaesthesia at different times completed a questionnaire comparing the two techniques. According to our results, 98% vs 51% (p < 0.001) of the women saw the baby and 51% vs 29% (p = 0.003) ambulated in the neuraxial and general anaesthesia groups, respectively, within the first 24 h postoperatively. Neuraxial anaesthesia was associated with less pain assessed by the Verbal Analogue Scale (VAS) (54 ± 21 vs 72 ± 20 p < 0.001), fewer days of hospital stay (4 ± 0.5 vs 5 ± 1.5, p = 0.001) and higher satisfaction scores (77 ± 18 vs 52 ± 24, p = 0.001) vs general anaesthesia. Finally, 80% of the women would choose neuraxial anaesthesia for a future caesarean section.

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Cite This Study

Fassoulaki et al. (2010) conducted a cross-sectional in Elective caesarean section (n=102). Neuraxial anaesthesia vs. General anaesthesia was evaluated on Seeing the baby within the first 24 h postoperatively (p=<0.001). Neuraxial anaesthesia was preferred by 80% of parturients for future caesarean sections and resulted in higher rates of seeing the baby (98% vs 51%, p<0.001) compared to general anaesthesia.

synapsesocial.com/papers/6a96e9bee8ebf085abfbb367 https://doi.org/10.3109/01443615.2010.518650

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