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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2004 October;163(5):149-52
Anaesthesiological choice in caesarean section. Comparison between general and local anesthesia
Pitton M. A. 1, Petolillo M. 1, Ponchia R. 2, Casamassima D. 2, Grismondi G. L. 2
1 Università degli Studi di Padova, Padova, Dipartimento di Farmacologia e Anestesiologia “E. Meneghetti”, Sezione di Anestesiologia e Rianimazione;
2 U. O. di Ostetricia e Ginecologia, Azienda Ospedale, Padova
Aim. The aim of this study is to prove the efficacy of spinal anaesthesia in caesarean section. We will focus on how the treatment allows the mother to heal quicker after labour, reducing postoperation pain. The treatment improves her relation with her child, allowing the mother to actually see him coming to life, like in a spontaneous labour.
Methods. Between October 2002 and March 2003, at the Unit of Obstetrics and Gynecology of the Padua General Hospital, all the mothers who had a caesarean section with spinal anaesthesia and a previous caesarean section with complete anesthesia, have been studied. On the first day a questionnaire comparing the different experiences has been admistered to them together with the tests STAI-Y1 and STAI-Y2 for measuring the “state” and “trait” anxiety.
The data obtained with the questionnaires and the psychological tests have been analysed. The scores achieved have been compared with those of the whole population using the Z test, in order to check the state of anxiety after a caesarian section.
Results. Almost all our patients, 13 puerperas out of 15, prefer the local anaesthesia. This is due either to the advantages given by a good postoperation course and the possibility to stay with their baby from birth and to care him/her at once. The pleasure results independent of the personality related to anxiety.
Conclusion. The spinal anaesthesia, with an adequate preliminary information, is a practical help to the psyco-physical well-being of the pregnant in labour with caesarian section.