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Comparison of Outcomes Following General Anesthesia and Spinal Anesthesia During Emergency Cervical Cerclage in Singleton Pregnant Women in the Second Trimester at a Single Center

Authors
  • Wang, Yan1, 2
  • Ning, Xiaoli2
  • Yu, Yue2
  • Xia, Xiaoqiong2
  • Wang, Wei3
  • Hu, Xianwen1
  • 1 Department of Anesthesiology, Second Affiliated Hospital, Anhui Medical University, Hefei, Anhui, PR China
  • 2 Department of Anesthesiology and Pain Treatment, Chaohu Hospital Affiliated to Anhui Medical University, Chaohu, Anhui, PR China
  • 3 Department of Anesthesiology, Women’s Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), Nanjing, Jiangsu, PR China
Type
Published Article
Journal
Medical Science Monitor
Publisher
"International Scientific Information, Inc."
Publication Date
Mar 07, 2022
Volume
28
Identifiers
DOI: 10.12659/MSM.934771
PMID: 35255077
PMCID: PMC8915656
Source
PubMed Central
Keywords
Disciplines
  • Clinical Research
License
Unknown

Abstract

Background Little information exists regarding the best anesthesia method for emergency cerclage. This single-center study aimed to compare the outcomes following general anesthesia and spinal anesthesia during emergency cervical cerclage in women in the second trimester of a singleton pregnancy. Material/Methods A total of 297 pregnant patients were recruited: 141 patients were assigned to the general anesthesia group and 156 patients were assigned to the spinal anesthesia group. Periprocedural data and obstetric outcomes were recorded and statistically analyzed. Results Average duration of the cerclage procedure was shorter in the general anesthesia group than in the spinal anesthesia group (25.78±9.4 min versus 30.88±10.5 min; P <0.05). No severe maternal complications, such as hematosepsis or maternal death, occurred after the procedure for either group. The neutrophil-lymphocyte ratio and C-reactive protein (CRP) increased after emergency cerclage in both groups, but at no time did the 2 groups differ significantly ( P >0.05). There was also no significant difference in the incidence of miscarriage or preterm delivery (delivery <34 gestational weeks) or in neonatal outcome between the 2 groups ( P >0.05). Conclusions The results of this study showed that there were no significant differences in maternal and neonatal outcomes, rates of miscarriage, or preterm delivery between general anesthesia and spinal anesthesia during emergency cervical cerclage in women in the second trimester of a singleton pregnancy.

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