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Introduction: Spinal anesthesiais the popular route ofanesthesiain patient forcesarean delivery. Maternal hypotension is a common complication after spinal anesthesia resulting in adverse maternal and fetal outcomes. Prevention and management of post-spinal hypotension (PSH) is continuously investigated. Objectives of the study: The main objective of the study is to find the changes in blood pressure after spinal anesthesia for caesarean section in local female population of Pakistan. Materials and methods: This descriptive study was carried out after the approval from ethical committee at the department of gynecology and obstetrics, FMH hospital Shadman Lahore and BHU Karnana from September-December 2017. The sample size is 50 from the age group 25 to 40. This research was performed while the patient was sitting on the operating table and placing the feet on the stool. Blood pressure, heart rate and oxygen saturation was maintained and electrocardiography was also recorded as vital signs before spinal anesthesia was given. Results: Hypotension occurred after the spinal anesthesia in 85% patients and 15% remained with stable blood pressure. Hypotension was considered when systolic blood pressure was less than 90 mm Hg. Postspinal hypotension was treated with injection ephedrine intravenously. Postspinal hypotension was observed in 85% of patients. Conclusion: It is concluded from our analysis that spinal anaesthesia is most common technique used for cesarean section. It is a safest and most economical method as compared with general anaesthesia. Key words: Anaesthesia, C-section, pregnant, Blood pressure |
