The Effect Of Anesthetic Technique On Fetal Outcome Among Mothers Undergoing Caesarean Section For Non-Reassuring Fetal Status At Addis Ababa Public Hospitals, Addis Ababa Ethiopia
| dc.contributor.advisor | Abiy, Sileshi (B.Sc. M.Sc.) | |
| dc.contributor.author | Tadesse, Berihu | |
| dc.date.accessioned | 2020-11-16T07:04:02Z | |
| dc.date.accessioned | 2023-11-05T09:39:51Z | |
| dc.date.available | 2020-11-16T07:04:02Z | |
| dc.date.available | 2023-11-05T09:39:51Z | |
| dc.date.issued | 2020-06 | |
| dc.description.abstract | Background: Emergency Cesarean Sections are performed for various reasons. One of the reasons to do Cesarean Section (CS) is non-reassuring fetal status. Cases with emergency caesarean sections like non-reassuring fetal status are challenging for the obstetric anesthetist and obstetrician because such cases are highly associated with life-threatening complications for the fetus and/or the mother. So, choosing appropriate anesthetic technique in such cases is essential in decreasing fetal and maternal morbidity and mortality. Objective: To assess the effects of anesthetic technique, General Anesthesia (GA) versus Spinal Anesthesia (SA), over neonatal outcome of newborns delivered by CS for the indication of nonreassuring fetal status in Addis Ababa government hospitals, in 2019/2020 Methods: A prospective cohort study was conducted on 200 pregnant mothers who came for CS for the indication of non-reassuring fetal status and fulfill the inclusion criteria for the study. Patients in SA group (n = 100) received spinal anesthesia with 10 mg of bupivacaine while the GA group (n = 100) received general anesthesia. Study participants were selected by systematic random sampling technique after proportional allocation to the study hospitals. Data were collected using preoperative chart review, maternal interview and intraoperative observation. Comparisons of numerical variables between study groups were done using independent sample t-test and categorical variables were performed using chi-square test. Significance was determined at p-value < 0.05. Results: There was a significant difference in the mean of 1 minute Apgar score between SA and GA groups among newborns delivered by caesarean section for the indication of non-reassuring fetal heart status (Mean = 7.28, SD = 1.16) and (M = 6.64, SD = 1.44; p = 0.001) for SA and GA respectively. But there was no significant difference in 5 minute Apgar score. There was no significant difference in neonatal intensive care unit admission between GA and SA groups, χ2 (1) = 0.31, p =0.57. Conclusions: this study revealed that newborns delivered under SA had better 1 minute mean Apgar score when compared with GA. Based on this we recommend SA for mothers with the diagnosis of non-reassuring fetal status. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/23284 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Non-reassuring fetal status, general anesthesia Spinal anesthesia, Ethiopia. | en_US |
| dc.title | The Effect Of Anesthetic Technique On Fetal Outcome Among Mothers Undergoing Caesarean Section For Non-Reassuring Fetal Status At Addis Ababa Public Hospitals, Addis Ababa Ethiopia | en_US |
| dc.type | Thesis | en_US |