Research Article
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Year 2025, Volume: 13 Issue: 1, 22 - 28, 02.05.2025

Nurdan Kamilçelebi , Fatma Özdemir , Ayça Sultan Şahin

Abstract

References

  • Afolabi BB., Kaka AA., Abudu OO., (2003). Spinal and general anaesthesia for emergency caesarean section: effects on neonatal Apgar score and maternal haematocrit. Nigerian Postgraduate Medical Journal 10, 51-55.
  • Aksoy H. et al., (2015). Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study. Journal Of The Turkish-German Gynecological Association 16(3),158-163.
  • Avery DM., (2009). Obstetric emergencies. American Journal Of Clinical Medicine 6, 42-47.
  • Batool T et al., (2016). Comparison of general and spinal anesthesia on maternal hemoglobin changes after caesarean sectio. Biomedical and Pharmacology Journal 9(3), 977-982.
  • Brabin BJ, Hakimi M, Palletier D., (2001). An analysis of anaemia and pregnancy - related maternal mortality. The Journal of Nutrition 131(25-2), 604-615.
  • Bucklin BA, Hawkins JL, Anderson JR, Ullrich FA., (2005). Obstetric anesthesia work force survey twenty-year update. Anesthesiology 103(3), 645-653.
  • Chang C-C, Wang I-T, Chen Y-H, et al., (2011). Anesthetic management as a risk factor for postpartum hemorrhage after cesarean deliveries. American Journal of Obstetrics & Gynecology 205:462, 1-7.
  • Hughes SC, Levinson G, Rosen MA, Shnider SM., (2002). Shnider and Levinson's anesthesia for obstetrics: Lippincott Williams &Wilkins.
  • Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF., (2006). WHO analysis of causes of maternal death: a systematic review. Lancet 367(9516), 1066-1074.
  • Kim JE et all., (2012). The effect of type of anesthesia on intra and postoperative blood loss at elective cesarean section. Korean Journal of Anesthesiology 62, 125-129.
  • Lewis G, Drife JO., (2004). Why mothers die 2000-2002: Mid wifery summary and key findings: the sixth report of the confidential enquiries into maternal deaths in the united kingdom: RCOG.
  • Milman N., (2011). Anemia-still a major health problem in many parts of the world! Annals of Hematology 90(4), 369-377.
  • Murray-Kolb L., (2012). Maternal mortality, child mortality, peri-natal mortality, child cognition, and estimates of prevalence of anemia due to iron deficiency. Baltimore: CHERG.
  • Reisner LS, Lin D., (1999). Anesthesia for cesarean section. In: Chestnut (Ed). Obstetric Anesthesia Principles and Practice. Mosby, St Louis: Mosby 465-492.
  • Reynolds F., (2010). General anesthesia is unacceptable for elective cesarean section. International Journal of Obstetric Anesthesia 19(2), 212-217.
  • Richman JM et al., (2006). Does neuraxial anesthesia reduce intraoperative blood loss? a meta- analysis. Journal of Clinical Anesthesiology 18, 427-435.
  • Shook PR et al., (2003). Estimating blood loss for cesarean section: How accurate are we? Anesthesiology 98, 1-2.
  • The National Institute for Health and Care Excellence. (2011). Guidelines for caesarean section. Available at: https://www.nice.org.uk/guidance/CG132/uptake. Accessed September 11.
  • Tsen LC., (2009). Antepartum and postpartum hemorrhage. In: Chestnut DH, Polley LS, Tsen LC, Wong CA, editors. Chestnut's Obstetric Anesthesia Principles and Practice. 4th ed. Philadelphia: MosbyElsevier; 6.
  • World Health Organization, (2001). Iron deficiency anaemia assessment prevention and control: a guide for program managers. Geneva: World Health Organization. 132 (WHO/ NHD 01.3).
  • Yalınkaya A, Güzel AI, Kangal K, Uysal E, Erdem S., (2009). Comparison of blood values in cesarean deliveries under spinal and general anesthesia. Journal of Perinatology 17, 70-73.

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

Year 2025, Volume: 13 Issue: 1, 22 - 28, 02.05.2025

Nurdan Kamilçelebi , Fatma Özdemir , Ayça Sultan Şahin

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

References

  • Afolabi BB., Kaka AA., Abudu OO., (2003). Spinal and general anaesthesia for emergency caesarean section: effects on neonatal Apgar score and maternal haematocrit. Nigerian Postgraduate Medical Journal 10, 51-55.
  • Aksoy H. et al., (2015). Blood loss in elective cesarean section: is there a difference related to the type of anesthesia? A randomized prospective study. Journal Of The Turkish-German Gynecological Association 16(3),158-163.
  • Avery DM., (2009). Obstetric emergencies. American Journal Of Clinical Medicine 6, 42-47.
  • Batool T et al., (2016). Comparison of general and spinal anesthesia on maternal hemoglobin changes after caesarean sectio. Biomedical and Pharmacology Journal 9(3), 977-982.
  • Brabin BJ, Hakimi M, Palletier D., (2001). An analysis of anaemia and pregnancy - related maternal mortality. The Journal of Nutrition 131(25-2), 604-615.
  • Bucklin BA, Hawkins JL, Anderson JR, Ullrich FA., (2005). Obstetric anesthesia work force survey twenty-year update. Anesthesiology 103(3), 645-653.
  • Chang C-C, Wang I-T, Chen Y-H, et al., (2011). Anesthetic management as a risk factor for postpartum hemorrhage after cesarean deliveries. American Journal of Obstetrics & Gynecology 205:462, 1-7.
  • Hughes SC, Levinson G, Rosen MA, Shnider SM., (2002). Shnider and Levinson's anesthesia for obstetrics: Lippincott Williams &Wilkins.
  • Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF., (2006). WHO analysis of causes of maternal death: a systematic review. Lancet 367(9516), 1066-1074.
  • Kim JE et all., (2012). The effect of type of anesthesia on intra and postoperative blood loss at elective cesarean section. Korean Journal of Anesthesiology 62, 125-129.
  • Lewis G, Drife JO., (2004). Why mothers die 2000-2002: Mid wifery summary and key findings: the sixth report of the confidential enquiries into maternal deaths in the united kingdom: RCOG.
  • Milman N., (2011). Anemia-still a major health problem in many parts of the world! Annals of Hematology 90(4), 369-377.
  • Murray-Kolb L., (2012). Maternal mortality, child mortality, peri-natal mortality, child cognition, and estimates of prevalence of anemia due to iron deficiency. Baltimore: CHERG.
  • Reisner LS, Lin D., (1999). Anesthesia for cesarean section. In: Chestnut (Ed). Obstetric Anesthesia Principles and Practice. Mosby, St Louis: Mosby 465-492.
  • Reynolds F., (2010). General anesthesia is unacceptable for elective cesarean section. International Journal of Obstetric Anesthesia 19(2), 212-217.
  • Richman JM et al., (2006). Does neuraxial anesthesia reduce intraoperative blood loss? a meta- analysis. Journal of Clinical Anesthesiology 18, 427-435.
  • Shook PR et al., (2003). Estimating blood loss for cesarean section: How accurate are we? Anesthesiology 98, 1-2.
  • The National Institute for Health and Care Excellence. (2011). Guidelines for caesarean section. Available at: https://www.nice.org.uk/guidance/CG132/uptake. Accessed September 11.
  • Tsen LC., (2009). Antepartum and postpartum hemorrhage. In: Chestnut DH, Polley LS, Tsen LC, Wong CA, editors. Chestnut's Obstetric Anesthesia Principles and Practice. 4th ed. Philadelphia: MosbyElsevier; 6.
  • World Health Organization, (2001). Iron deficiency anaemia assessment prevention and control: a guide for program managers. Geneva: World Health Organization. 132 (WHO/ NHD 01.3).
  • Yalınkaya A, Güzel AI, Kangal K, Uysal E, Erdem S., (2009). Comparison of blood values in cesarean deliveries under spinal and general anesthesia. Journal of Perinatology 17, 70-73.
There are 21 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Research Article
Authors

Nurdan Kamilçelebi 0000-0003-4741-7877

Fatma Özdemir 0000-0003-4197-5819

Ayça Sultan Şahin 0000-0002-7765-5297

Publication Date May 2, 2025
Submission Date November 7, 2024
Acceptance Date February 13, 2025
Published in Issue Year 2025 Volume: 13 Issue: 1

Cite

APA Kamilçelebi, N., Özdemir, F., & Şahin, A. S. (2025). The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women with Anemia. Mehmet Akif Ersoy University Journal of Health Sciences Institute, 13(1), 22-28. https://doi.org/10.24998/maeusabed.1571864
AMA Kamilçelebi N, Özdemir F, Şahin AS. The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women with Anemia. Mehmet Akif Ersoy University Journal of Health Sciences Institute. May 2025;13(1):22-28. doi:10.24998/maeusabed.1571864
Chicago Kamilçelebi, Nurdan, Fatma Özdemir, and Ayça Sultan Şahin. “The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women With Anemia”. Mehmet Akif Ersoy University Journal of Health Sciences Institute 13, no. 1 (May 2025): 22-28. https://doi.org/10.24998/maeusabed.1571864.
EndNote Kamilçelebi N, Özdemir F, Şahin AS (May 1, 2025) The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women with Anemia. Mehmet Akif Ersoy University Journal of Health Sciences Institute 13 1 22–28.
IEEE N. Kamilçelebi, F. Özdemir, and A. S. Şahin, “The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women with Anemia”, Mehmet Akif Ersoy University Journal of Health Sciences Institute, vol. 13, no. 1, pp. 22–28, 2025, doi: 10.24998/maeusabed.1571864.
ISNAD Kamilçelebi, Nurdan et al. “The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women With Anemia”. Mehmet Akif Ersoy University Journal of Health Sciences Institute 13/1 (May 2025), 22-28. https://doi.org/10.24998/maeusabed.1571864.
JAMA Kamilçelebi N, Özdemir F, Şahin AS. The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women with Anemia. Mehmet Akif Ersoy University Journal of Health Sciences Institute. 2025;13:22–28.
MLA Kamilçelebi, Nurdan et al. “The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women With Anemia”. Mehmet Akif Ersoy University Journal of Health Sciences Institute, vol. 13, no. 1, 2025, pp. 22-28, doi:10.24998/maeusabed.1571864.
Vancouver Kamilçelebi N, Özdemir F, Şahin AS. The Effect of Anesthesia Type on Hemodynamics and Bleeding in Pregnant Women with Anemia. Mehmet Akif Ersoy University Journal of Health Sciences Institute. 2025;13(1):22-8.
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