Cesarean delivery is performed in about 1 in 5 births. The delivery may be planned, or an emergency. Anesthesia is necessary for cesarean delivery for to maintain maternal arterial blood pressure and avoid adverse maternal and neonatal outcomes. A regional or a general anesthetic can be administered. The choice of anesthesia is determined by the clinical situation and by your medical condition. The role of your anesthesiologist is to ensure your comfort and safety. Both general and regional anesthesia is safe and has no significant effects on the baby. Obstetric anesthesiologists prefer to administer a regional anesthetic whenever possible as it minimizes airway complications. It is a safe and effective anesthetic that allows you to be awake and pain free during the operation. During both regional and general anesthesia, safety monitors are applied to ensure that your vital signs are monitored and stay within the limits that are necessary for the well-being of the baby. Before all elective surgeries, regardless of the type of anesthesia that is administered, fasting is necessary. Before the administration of either regional or general anesthesia, you will be given an antacid to drink. This is necessary to neutralize the acid in the stomach. This precaution may reduce the chance of lung injury in the event that there is regurgitation of stomach contents into the breathing passage. You may also be given anti-nausea medications through your vein. General anesthesia is used when your medical history or emergency dictate that regional anesthesia is too risky or not possible. Since there are more potential risks to you and your baby using general anesthesia, it is not preferred.
A journal is a periodical publication intended to further progress of science, usually by reporting new research. Most journals are highly specialized, although some of the oldest journals publish articles, reviews, editorials, short communications, letters, and scientific papers across a wide range of scientific fields. Journals contain articles that peer reviewed, in an attempt to ensure that articles meet the journal's standards of quality, and scientific validity. Each such journal article becomes part of the permanent scientific record.
Last date updated on June, 2014