ANESTESIA GERAL EM PARTO CESÁREA: IMPACTO NAS REPERCUSSÕES NEONATAIS
DOI:
https://doi.org/10.36557/2674-8169.2024v6n2p521-528Keywords:
General anesthesia, cesarean delivery, neonatal outcomes, maternal health.Abstract
This study reviewed the relationship between the use of general anesthesia in cesarean deliveries and its consequences for neonatal health. It was found that general anesthesia is often avoided due to its potential risks to the mother, including high rates of maternal morbidity and mortality. Although preference has shifted towards regional techniques due to their safety, the decision between general and regional anesthesia remains crucial, especially in emergency cases. In addition to the risks for the mother, the type of anesthesia also affects the newborn's health, with general anesthesia being associated with a higher risk of neonatal respiratory depression. However, reviewed studies showed divergent results regarding the effects of general anesthesia on neonatal morbidity. Therefore, an individualized and careful approach in choosing anesthesia is essential, considering the benefits and risks for both mother and baby. Further research is needed to fully clarify these effects and guide clinical practice, aiming for safer and more effective obstetric care.
Downloads
References
BACELAR, Beatriz do Nascimento et al. O impacto das cesarianas desnecessárias na saúde materna e neonatal no Brasil. Brazilian Journal of Development, v. 9, n. 8, p. 23276-23286, 2023.
BUCKLIN, B. A. et al. Obstetricanesthesia workforce survey: twenty-year update. Anesthesiology, v. 103, n. 3, p. 645-653, 2005.
EDIPOGLU, I. S. et al. Effect of anaesthetic technique on neonatal morbidity in emergency caesarean section for foetal distress. PLOS ONE, v. 13, n. 11, p. e0207388, 16 nov. 2018. DOI: 10.1371/journal.pone.0207388
ELTZSCHIG, H. K.; LIEBERMAN, E. S.; CAMANN, W. R. Regional anesthesia and analgesia for labor and delivery. N Engl J Med, v. 348, p. 319-332, 2003.
FERRAREZI, W. P. P. et al. Anestesia espinhal para cesariana eletiva. Emprego da associação de bupivacaína a diferentes doses de fentanil: ensaio clínico randomizado. Brazilian Journal of Anesthesiology, v. 71, n. 6, p. 642-648, 2021.
GONTIJO, G. R.; ARAÚJO, M. M.; REIS, Z. S. N. Análise do resultado obstétrico de partos submetidos a anestesia de condução e das repercussões neonatais imediatas. Revista de Medicina, v. 99, n. 5, p. 448-455, 2020.
HAWKINS, J. L. et al. Anesthesia-related Deaths during Obstetric Delivery in the United States, 1979-1990. Anesthesiology, v. 86, n. 2, p. 277-284, 1997.
OZDEN, M. G. N. Comparison of the effects of general and spinal anesthesia for cesarean delivery on maternal and fetal outcomes: A retrospective analysis of data. Northern Clinics of Istanbul, p. 575–582, 2023. DOI: 10.14744/nci.2023.25593
PORTELLA, A. A. V. et al. Fentanil em anestesia geral para cesariana: Dosagem das concentrações plasmáticas maternais e fetais. Brazilian Journal of Anesthesiology, v. 41, n. 6, p. 377-380, 2020.
SWANSON, K. et al. Duration of Exposure to General Endotracheal Anesthesia during Cesarean Deliveries at Term and Perinatal Complications. American Journal of Perinatology, v. 39, n. 03, p. 232–237, fev. 2022. DOI: 10.1055/s-0041-1739355.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Daniele Souza Teixeira , Bruna Emanuely Sousa Ribeiro , Jéssica Luísa Moretto , Alisson Soares Júnior , Thayse Alcântara Meira , Tatianie Torres de Almeida , Karoliny Costa Soares , Vanessa Nunes Alves , Andressa Nunes Alves , Cyntya Halynne Ferreira da Ponte , Matheus Mourão Cordeiro Vaz , Krizia Nayanne da Silva Soares , Ana Carolini Martins de Sá e Silva , Luciane Mari Brito Cavalcante
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.
