General Anesthesia for Cesarean Section, Maternal and Perinatal Outcomes

Study Overview
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Brief Summary
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To evaluate the maternal and perinatal outcomes that occur in obstetric patients undergoing cesarean section surgery under general anesthesia at the Fray Antonio Alcalde Civil Hospital of Guadalajara.

Detailed Description
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Pregnant patients who required surgical management to resolve the pregnancy via the abdominal route will be identified from the anesthesiology logs and evaluation sheets of the obstetric patient. During the period from January 2019 to December 2023. The data will be collected in a database made up of Excel software. Maternal data collected:Of the total cesarean surgery procedures, the following are collected: hospital record, the anesthetic technique administered and the date of the surgical intervention. Patients who underwent surgery under general anesthesia technique will be identified and their demographic data will be recorded (name, age, hospital record, weight, height, BMI, obstetric data, number of pregnancies, births, cesarean sections, abortions, weeks of gestation) diagnosis. , type of intervention, procedure performed The characteristics of the anesthetic technique, the drugs used for anesthetic induction, will also be recorded. Complications associated with the anesthetic technique will be recorded, such as: intraoperative awakening, failed tracheal intubation and pulmonary aspiration. The status of the patient's discharge from the operating room, extubated or intubated, will be recorded. Fetal data collected: Prenatal fetal diagnosis will be obtained, as well as its classification by ultrasound measurement of estimated weight and weeks of gestation assigned to weight appropriate for gestational age, small for gestational age or large for gestational age. From the results of the newborn, the condition at birth, weight, height, gestational age, as well as the size at birth assigned in: adequate weight, low or high, are recorded. The Apgar score will be obtained at one minute and at 5 minutes. The condition of the newborn after immediate care will be recorded if he or she remains in rooming-in or is discharged to surveillance, intermediate or intensive therapy. Data that is not found in the obstetric patient's evaluation sheets will be corroborated in anesthesiology, nursing, neonatology logs and electronic records. Once the database is obtained, the statistical analysis will be carried out.

Official Title
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General Anesthesia in Obstetric Patients for Cesarean Section, Maternal and Perinatal Outcomes

Conditions
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Anesthesia, Perinatal Morbidity, Maternal-Fetal Relations

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Obstetric patients who require surgical intervention to resolve the pregnancy, under general anesthesia Exclusion Criteria: Obstetric patients who enter the hospital intubated.

Ages Eligible for Study
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Minimum Age: 14 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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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency general anesthesia | Obtain the frequency of obstetric patients undergoing cesarean section surgery under general anesthesia | 5 years | 
| Maternal and fetal diagnosis | Specify the diagnoses for which general anesthesia is carried out | 5 years | 
| Classification physical status | Know the physical status of patients undergoing cesarean surgery | 5 years | 
| General anesthesia complications | Identify complications of the anesthetic technique | 5 years | 
| Maternal condition at the end of surgery | List the maternal discharge condition at the end of surgery (intubated/extubated) | 5 years | 
| Anesthetic induction | Describe the medications used for anesthetic induction | 5 years | 
| Prenatal classification by weight and gestational age | Document prenatal classification of the fetus by weight and gestational age assigned by ultrasound | 5 years | 
| Apgar Score | Record the newborn's Apgar score | 5 years | 
| Size at birth | Document birth size classification assigned by neonatology | 5 years | 
| Condition of the newborn | List the condition of the newborn after his or her initial evaluation (rooming-in/neonatal therapy) | 5 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Materno, General anesthesia, Perinatal, Outcomes, Cesarean