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Aksoy H, Aksoy Ü, Yücel B, et al. Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study. J Turk Ger Gynecol Assoc. 2015;16(3):158-63doi: 10.5152/jtgga.2015.15034.
Aksoy, H., Aksoy, �. �., Yücel, B., Özyurt, S. S., Açmaz, G., Babayiğit, M. A., Gökahmetoğlu, G., & Aydın, T. (2015). Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study. Journal of the Turkish German Gynecological Association, 16(3), 158-63. https://doi.org/10.5152/jtgga.2015.15034
Aksoy, Hüseyin, et al. "Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study." Journal of the Turkish German Gynecological Association vol. 16,3 (2015): 158-63. doi: https://doi.org/10.5152/jtgga.2015.15034
Aksoy H, Aksoy Ü, Yücel B, Özyurt SS, Açmaz G, Babayiğit MA, Gökahmetoğlu G, Aydın T. Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study. J Turk Ger Gynecol Assoc. 2015 Jul 14;16(3):158-63. doi: 10.5152/jtgga.2015.15034. eCollection 2015. PMID: 26401109; PMCID: PMC4560473.
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J Turk Ger Gynecol Assoc. 2015 Jul 14;16(3):158-63. doi: 10.5152/jtgga.2015.15034. eCollection 2015.

Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study.

Journal of the Turkish German Gynecological Association

Hüseyin Aksoy, Ülkü Aksoy, Burak Yücel, Sezin Saygı Özyurt, Gökhan Açmaz, Mustafa Alparslan Babayiğit, Günhan Gökahmetoğlu, Turgut Aydın

Affiliations

  1. Department of Obstetrics and Gynecology, Kayseri Military Hospital, Kayseri, Turkey.
  2. Department of Obstetrics and Gynecology, Kayseri Memorial Hospital, Kayseri, Turkey.
  3. Department of Obstetrics and Gynecology, Kayseri Ac?badem Hospital, Kayseri, Turkey.
  4. Clinic of Obstetrics and Gynecology, Kayseri Traininig and Research Hospital, Kayseri, Turkey.
  5. Department of Public Health and Epidemiology, Gülhane Military Medical Academy, Ankara, Turkey.
  6. Clinic of Anesthesiology, Kayseri Traininig and Research Hospital, Kayseri, Turkey.

PMID: 26401109 PMCID: PMC4560473 DOI: 10.5152/jtgga.2015.15034

Abstract

OBJECTIVE: We aimed to compare the effect of general and spinal anesthesia on maternal blood loss in elective cesarean section (CS).

MATERIAL AND METHODS: This was a prospective randomized study and included 418 healthy pregnant women with a term uncomplicated singleton pregnancy between 37 and 41 weeks of gestation. The study participants were randomly divided into two groups: the general anesthesia group and spinal anesthesia group. CSs were all performed using the same surgical technique, and within the groups, the same anesthetic procedures were used (either general or spinal). The primary outcome for this study was operative blood loss. Hemoglobin and hematocrit concentrations were compared between the two groups.

RESULTS: The preoperative hemoglobin and hematocrit levels were similar in the both groups (p=0.08 and p=0.239, respectively). Significantly lower operative blood loss was achieved using spinal anesthesia versus general anesthesia during elective CS. The differences between preoperative and postoperative blood values for both the study groups were statistically significant (p<0.001).

CONCLUSION: This study demonstrates that spinal anesthesia is associated with a lower risk of operative blood loss than general anesthesia in low risk patients undergoing elective CS.

Keywords: Operative blood loss; anesthesia; cesarean section

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