Key result
Updated obstetric guidelines recommend neuraxial anaesthesia, early ambulation, and thromboprophylaxis for elective caesarean sections.
Why the study?
Updated obstetric anaesthesia guidelines recommend neuraxial anaesthesia for elective, low-risk (Category 4) caesarean section, but optimal anaesthetic management requires review.
This review outlines the anaesthetic management for elective, low-risk caesarean sections, emphasizing neuraxial anaesthesia, postoperative pain relief, early ambulation, and thromboprophylaxis.
May support neuraxial anaesthesia and enhanced recovery protocols in elective caesarean sections; leaves open prospective validation.
An increasing number of caesarean sections are being performed for both elective as well as emergency cases. Category 4 caesarean section refers to a planned elective surgery after 39 weeks of gestation at a time suitable to the mother and the maternity team. For a safe conduct of anaesthesia, the updated obstetric anaesthesia guidelines recommend administration of neuraxial anaesthesia, whenever feasible. The management should include adequate postoperative pain relief, early ambulation, and thromboprophylaxis to ensure early recovery. This review will discuss the anaesthetic management including regional anaesthesia, general anaesthesia, and postoperative analgesia for elective, low-risk (Category 4) caesarean section.
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Jain et al. (2018) conducted a review in Elective, low-risk (Category 4) caesarean section. Anaesthetic management (regional and general anaesthesia) was evaluated. Updated obstetric anaesthesia guidelines recommend neuraxial anaesthesia whenever feasible, alongside adequate postoperative pain relief, early ambulation, and thromboprophylaxis for elective caesarean sections.
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