General Anaesthesia for Caesarean Section

  • JW Downing
  • AJ Coleman
  • MC Mahomedy
  • DE Jeal
  • YH Mahomedy

Abstract

Fifty mothers presenting for elective Caesarean section were anaesthetised using a technique previously recommended for obstetric anaesthesia. Clinically, most infants were in good condition after birth. Blood gas studies done on the mothers before induction and at delivery showed a mild respiratory alkalosis with a compensatory metabolic acidosis. Mean umbilical arterial blood gas/acid-base status revealed a mild acidaemia, both respiratory and metabolic in origin, which was well within accepted normal limits. Fetal oxygenation also appeared satisfactory (mean umbilical vein p02 33,9 torr and umbilical artery p02 18,9 torr). Two mothers (4%) were conscious during surgery, but felt no pain. Vomiting after anaesthesia occurred in 16% of cases. Evidence of postoperative chest infection was found in 5 mothers (10%). Thus, the anaesthetic technique advocated does not appear to adversely influence the mother or her infant.

S. Afr. Med. J., 48, 1735 (1974)

Author Biographies

JW Downing
Department of Anaesthetics, University of Natal Medical School, Durban
AJ Coleman
Department of Anaesthetics, University of Natal Medical School, Durban
MC Mahomedy
Department of Anaesthetics, University of Natal Medical School, Durban
DE Jeal
Department of Anaesthetics, University of Natal Medical School, Durban
YH Mahomedy
Department of Anaesthetics, University of Natal Medical School, Durban
Published
2018-04-07
Section
Articles

eISSN: 0256-95749