• Chuen-Chau Chang, I-Te Wang, Yi-Hua Chen, and Herng-Ching Lin.
• Department of Anesthesiology, Taipei Medical University, Taipei, Taiwan.
• Am. J. Obstet. Gynecol. 2011 Nov 1; 205 (5): 462.e1-7.

ObjectiveThis population-based study aimed to compare the risk of postpartum hemorrhage (PPH) for patients who underwent cesarean section delivery (CS) with general vs spinal/epidural anesthesia.Study DesignWe identified 67,328 women who had live singleton births by CS by linking the Taiwan National Health Insurance Research Dataset and the national birth certificate registry. Multivariate logistic regression was carried out to explore the relationship between anesthetic management type and PPH.ResultsWomen who received general anesthesia had a higher rate of PPH than women who received epidural anesthesia (5.1% vs 0.4%). The odds of PPH in women who had CS with general anesthesia were 8.15 times higher (95% confidence interval, 6.43-10.33) than for those who had CS with epidural anesthesia, after adjustment was made for the maternal and fetal characteristics.ConclusionThe odds that women will experience cesarean PPH with general anesthesia are approximately 8.15 times higher than for women who undergo CS with epidural anesthesia.Copyright © 2011 Mosby, Inc. All rights reserved.

16 keywords...

hide…