Abstract

ANAESTHESIA-RELATED COMPLICATIONS AND THEIR MANAGEMENT IN CAESAREAN SECTION PROCEDURES

Maaza Mohamed Noor, Tarig Osman* and Nahid Osman

ABSTRACT

Background: Anaesthesia is considered as a significant risk during surgeries in which it causes mild to life-threatening complications. Caesarean Section procedures are increasing now in which the mothers will be exposed to the risk of developing these complications, and their health will be affected. Objective: This study was conducted at Omdurman Maternity Hospital to determine the anaesthesia-related complications & its outcomes in caesarean section procedures. Method: This is an observational descriptive cross-sectional hospital-based study in which 130 patients who attended elective and emergency cesarean sections were selected, data were collected using a structured data collection form. Data were collected by attending the CS inside the operation room, under the supervision of anaesthesia specialist, observe the occurrence of anaesthesia procedures and report the complications and required data needed to fill the data collection form. Results: anaesthesia complications was found to be in forty-three (33.07%). Most of the studied mothers had experienced at least one complication attributed to anaesthesia. Spinal anaesthesia was the dominant type of anaesthesia used (99.2%) in which bupivacaine and lidocaine (44.6%) or lidocaine alone (55.4) were used. The most frequent spinal anaesthesia complication observed was hypotension (13.07%), followed by nausea and vomiting (3.84%), then headache and bradycardia (3.84%), and only a few numbers of mother expose to Shivering (3.07%) and airway problem (1.53%). Only one patient underwent general anaesthesia (0.8%), and the observed complication was an arrhythmia. Most of the complications were managed (76.7%) pharmacologically in addition to supportive therapy. Conclusion: Regional anaesthesia was used more than general anaesthesia, spinal and general anaesthesia complication was low (33.07%), and hypotension was the highest complication occurred, management of complication was done for most mothers.

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