The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women with Anemia

Abstract

Objective: The aim of our study is to investigate and compare the effects of spinal and general anesthesia on maternal blood loss and hemodynamic data during cesarean section in pregnant women with anemia. Methods: Patients with anemia who underwent cesarean section in our clinic were included. Age, gravida, body weight, gestational age, hemodynamic data, fibrinogen levels, hemoglobin levels at preoperative and postoperative 6th hour were recorded. Results: There was no statistically significant difference between preoperative hemoglobin and postoperative hemoglobin values and the amount of bleeding (p>0.05). A statistically significant difference was found in the comparison of intraoperative 5th and 15th minute and postoperative diastolic blood pressures (p<0.05), and it was observed that the values of the spinal anesthesia group were lower. Conclusion: We found that the type of anesthesia did not affect the amount of perioperative and postoperative bleeding. The most common cause of maternal mortality is postpartum hemorrhage. Anemia should be corrected in the prenatal period to minimize the effect of postpartum hemorrhage. The most important factors in the choice of anesthesia method are the systemic problems and desire of the pregnant woman, the urgency of the operation, the preference of the surgeon and the experience of the anesthesiologist.

Keywords

• anemia
• obstetric bleeding
• cesarean section
• general anesthesia
• spinal anesthesia

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