Clinical analysis of cesarean section cases at a tertiary university hospital from 2018 to 2023: A Van-scaled retrospective study,

Clinical Analysis of Cesarean Section Cases at a Tertiary University Hospital from 2018 to 2023: A Van-Scaled Retrospective Study, Rüstem TAŞ, MD., Dissertation, Van, 2024. Aim: This study aims to present the types of anesthesia used in cesarean sections at a tertiary hospital in Turkey, the proportion of patients requiring intensive care postoperatively, and the intraoperative and postoperative mortality rates, as well as to investigate the factors associated with these outcomes. Method: This retrospective cohort study included 2709 patients who underwent cesarean delivery under spinal or general anesthesia at the Van Yüzüncü Yıl University Dursun Odabaşı Medical Center between 2018 and 2023. Preoperative, intraoperative, and postoperative data for all participants were retrospectively obtained from the hospital's computerized database records. Results: The average age of the cases was 30.48 ± 6.76 years. General anesthesia was administered to 66.3% of the women, while 33.7% received spinal anesthesia. Intensive care unit (ICU) admission was required for 0.6% of the patients. The percentage of general anesthesia was associated with higher comorbidity counts, lower 1st and 5th minute APGAR scores, higher ASA scores, increased HELLP syndrome, preeclampsia, placental invasion anomalies, higher erythrocyte suspension and fresh frozen plasma replacement, and higher intravenous analgesia rates. Postoperative ICU need was associated with higher comorbidity counts, lower 1st and 5th minute APGAR scores, higher ASA scores, increased eclampsia, preeclampsia, placental invasion anomalies, use of general anesthesia, inhaled agents, and higher erythrocyte suspension and fresh frozen plasma replacement rates. Conclusion: These findings indicate that general anesthesia is the primary choice for cesarean sections in our clinic, and spinal anesthesia offers clinical advantages compared to general anesthesia. A review of the indications for general anesthesia in cesarean deliveries is warranted. Keywords: Cesarean, General Anesthesia, Spinal Anesthesia, APGAR, Intensive Care