FREQUENCY AND INDICATIONS OF CAESAREAN SECTION ALONG WITH COMMON COMPLICATIONS OF SPINAL ANESTHESIA IN DISTRICT RAWALPINDIA CROSS SECTIONAL STUDY

Abstract

Objective: To identify the frequency and indications of caesarean section and also the common complications of spinal anesthesia in post caesarean women of district Rawalpindi.

Study Design: A cross sectional study.

Place and Duration of Study: Various hospitals of district Rawalpindi, from Jul 2016 to Jan 2017.

Methodology: This study was done on 400 women after their C-section surgeries under both general anesthesia and epidural anesthesia. Data was collected through a self-structured questionnaire including 15 close ended questions regarding frequency, indications and complications of spinal anesthesia. Analysis was done by using SPSS 21.

Results: Mean age of the women was 24.4 years, 277 (69.0%) patients out of 400 had epidural anesthesia, while 123 (30.8%) patients had general anesthesia. Most common indications of C-section found were multiple previous C-section 108 (27.0%), fetal distress 94 (23.5%), breech position of fetus 45 (11.3%), cephalo-pelvic disproportion (CPD) 40 (10%), pregnancy induced hypertension (PIH) 31 (7.8%), gestational diabetes (GDM) 25 (6.3%), Twins/triplets 15 (3.8%), Cord prolapsed 10 (2.5%), oligohydramnios 8 (2.0%), Polyhydramnios 6 (1.5%), placenta previa 3 (0.8%) and age and Exercise was 0% only. Common complications found were low back pain 73 (18.3%) and difficulty in urination 45 (11.3%)

Conclusion: The frequency of spinal anesthesia in C-section was greater as compared to general anesthesia due to previous caesarean and fetal distress most commonly. Low back pain and difficulty in urination had been reported as common complications after spinal anesthesia