General or Spinal Anesthesia for Cesarean Delivery

Study Overview
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Brief Summary
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During the cesarean deliveries, one of the anesthesia techniques, regional anesthesia or general anesthesia (GA) is prefered. Spinal anesthesia (SA) is preferred among the regional anesthesia methods because the onset of anesthesia is faster and muscle relaxation is more suitable for cesarean section anesthesia. Although both methods have advantages and disadvantages, the anesthesia method to be chosen may vary depending on the condition of the mother and fetus. The goal of this retrospective clinical trial is to compare general and spinal anesthesia in cesarean deliveries. The main questions it aims to answer are: Are the anesthesia techniques effect maternal outcome? Are the anesthesia techniques effect fetal outcome?

Official Title
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Comparison of The Effects of General and Spinal Anesthesia for Cesarean Delivery on Maternal and Fetal Outcomes: A Retrospective Analysis of Data in a Third Level Hospital

Conditions
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Anesthesia for Cesarean Delivery

Intervention / Treatment
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* Procedure: General Anesthesia
* Procedure: Spinal Anesthesia


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The pregnant women who delivered with cesarean section Exclusion Criteria: The pregnant women who delivered with spontan vaginal delivery.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| General Anesthesia for Cesarean Delivery<br> | Procedure: General Anesthesia<br>* General Anesthesia was intruduced for Cesarean Delivery<br>|
| Spinal Anesthesia for Cesarean Delivery<br> | Procedure: Spinal Anesthesia<br>* Spinal Anesthesia was intraduced for Cesarean Delivery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Apgar 1st minute score | The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health | 1st minute after birth | 
| Apgar 5th minute score | The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health | 5th minute after birth | 
| Umbilical Cord Blood pH | pH values from umblical cord blood sampling | at the time of birth | 
| Umbilical Cord Blood PCO2 | mmHg | at the time of birth | 
| Umbilical Cord Blood HCO3 | mEq/L | at the time of birth | 
| Umbilical Cord Blood Lactate | mmol/L | at the time of birth | 
| Umbilical Cord Blood Base Excess | mEq/L | at the time of birth | 
| need for neonatal intensive care | need for neonatal intensive care | up to 24 hours | 
| need for maternal intensive care | need for maternal intensive care | up to 24 hours |