Caesarian Section was performed on 62 patients who chose regional anaesthesia (epidural or subarachnoid) in preference to general anaesthesia. Results are presented and discussed with a review of relevant literature.
References
1.
AnsariI., WallaceG., ClemetsonC. A. B., MallikarjuneswareV. R., and ClemetsonC. D. M. (1970): “Tilt caesarian section”, J. Obstet. Gynaec. Brit. Comm., 77, 713.
2.
BonicaJ. J. (1969): “Principles and Practice of Obstetric Analgesia and Anesthesia”,F. A. Davis: Philadelphia, 567.
3.
BrazeltonT. B. (1961): “Psychophysiological reactions in the neonate: effect of maternal medication on the neonate and his behaviour”,J. Pediatr., 58, 513.
4.
ClarkR. B., ThompsonD. S., and ThompsonC. H. (1976) “Prevention of spinal hypotension associated with cesarian section”,Anesthesiology, 45, 670.
5.
CookeE. D., LloydM. J., BowcockS. A., and PilcherM. F. (1977): “Intravenous lignocaine in prevention of deep vein thrombosis after elective hip surgery”, Lancet, 2, 797.
6.
CorkeB. C. (1977): “Neurobehavioural responses of the newborn”, Anaesthesia, 32, 539.
7.
CovinoB. G., and VassalloH. G. (1976): “Pharmacokinetic aspects of local anesthetic agents in Local Anesthetics: Mechanism of Action and Clinical Use”, Grune and Stratton, New York, 38.
8.
CrawfordJ. S. (1972): “Principles and Practice of Obstetric Anaesthesia”, Blackwell Scientific Publications (3rd Ed.): Oxford, 184.
9.
CrawfordJ. S., BurtonM., and DaviesP. C. (1973): “Anaesthesia for caesarian section: further refinements of a technique”, Brit. J. Anaesth., 45, 726.
10.
DattaS., and BrownW. U. (1977): “Acid-base status in diabetic mothers and their infants following general or spinal anesthesia for cesarian section”, Anesthesiology, 47, 272.
11.
De JongR. H. (1970): “Systemic effects of local anesthetics” in Physiology and Pharmacology of Local Anesthesia.Charles C. Thomas: Springfield.
12.
DrummondG. B., ScottS. E. M., LeesN. M., and ScottD. B. (1974): “Effects of posture on limb Wood flow in late pregnancy”,Brit. Med. J., 4. 587.
13.
EbnerH. (1959): “An evaluation of spinal anesthesia in obstetrics”, Anesth. Analg., 38, 378.
14.
ForthmanH. J., and AdrianiJ. (1957): “Blood pressure changes during cesarian section”, Anesth. Analg., 36, 63.
15.
GreenR., and DawkinsM. (1966): “Post operative analgesia: The use of continuous drip epidural block”, Anaesthesia, 21, 372.
16.
JamesF. M., CrawfordJ. S., HopkinsonR., DaviesP., and NaiemH. (1977): “A comparison of general anesthesia and lumbar epidural analgesia for elective cesarian section”, Anesth. Analg., 56, 228.
17.
JamesF. M., GreissF. C., and KempR. A. (1970): “An evaluation of vasopressor therapy for maternal hypotension during spinal anesthesia”, Anesthesiology, 33, 25.
18.
LadnerC. N., BrinkmanC. R., WestonP., and AssaliN. S. (1970): “Dynamics of uterine circulation in pregnant and non-pregnant sheep”, Amer. J. Physiol., 218, 257.
19.
MagnoR., KjellmerI., and KarlssonK. (1976): “Anesthesia for cesarian section III: effects of epidural analgesia on the respiratory adaptation of the newborn in elective cesarian section”, Acta. Anaesthesiol. Scand., 20 (1), 73.
20.
MilneM. K., and Murray LawsonJ. I. (1973): “Epidural analgesia for caesarian section”, Brit. J. Anaesth., 45, 1206.
21.
MoirD. D. (1971): “Recent advances in pain relief in childbirth. II: Regional anaesthesia”, Brit. J. Anaesth., 43, 849.
22.
MoyaF., and SmithB. (1962): “Spinal anesthesia for cesarian section”, J. Amer. Med. Ass., 179, 609.
23.
PalahniukR. J., ScatliffJ., BiehlD., WeibeH., and SankaranK. (1977): “Maternal and neonatal effects of methoxyflurane, nitrous oxide and lumbar epidural anaesthesia for caesarian section”, Can. Anaesth. Soc. J., 24, 586.
24.
ScanlonJ. W. (1976): “Obstetric anaesthesia as a neonatal risk factor in normal labour and delivery”, Clin. Perinatol., 1, 465.
25.
ScanlonJ. W. (1976): “Effects of local anesthetics administered to parturient women on the neurological and behavioural performance of newborn children”, Bull. N.Y. Acad. Med., 52, 231.
26.
ScanlonJ. W., BrownW. V., WeissJ. B., and AlperM. H. (1974): “Neurobehavioural responses of newborn infants after maternal epidural anesthesia”, Anesthesiology, 40, 121.
27.
ShniderS. M. (1970): “Anesthesia for elective cesarian section” in Obstetrical Anesthesia (ed. ShniderS. M.). Williams and Watkins: Baltimore.
28.
SpencerH. R. (1937): “Spinal anaesthesia for caesarian section”, Brit. Med. J., 2, 723.
29.
SpragueD. (1976): “Effects of position and uterine displacement on spinal anesthesia for cesarian section”, Anesthesiology, 44, 164.
30.
Stanton-HicksM.d'A. (1975): “Cardiovascular effects of extradural anaesthesia”, Brit. J. Anaesth., 47, 253.
31.
TindallV. R. (1971): “The aetiology and pathology of pulmonary embolism,” in Scientific Basis of Obstetrics and Gynaecology (ed. MacdonaldR. R.) J. and A. Churchill: London.
32.
TuckerG. T., BoyesR. N., BridenbaughP. O., and MooreD. C. (1970b): “Binding of anilide-type local anesthetics in human plasma II: Implications in vivo with special reference to transplacental distribution”, Anesthesiology, 33, 303.
33.
UsubiagaJ. E. (1975): “Neurological complications following epidural anaesthesia.”International Anesthesiology Clinics,13, 2. Little, Brown and Co., Boston.
34.
WhitwamJ. G. (1976): “Classification of peripheral nerve fibres”, Anaesthesia, 31, 494.
35.
WollmanS. B., and MarxG. F. (1968): “Acute hydration for prevention of hypotension of spinal anesthesia in parturients”, Anesthesiology, 29, 374.
