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ISSN 3061-8142 (Electronic)

2026, Number 1

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Rev Mex Anest 2026; 49 (1)

A retrospective review of 5-year in general anesthesia for cesarean surgery. Maternal and perinatal outcomes

González-Peña DF, Campechano-Ascencio MÁ, Ascencio-Aceves OM, Bravo-Rubio J

Language: Spanish
References: 35
Page: 6-10
PDF size: 460.84 Kb.


ABSTRACT

Introduction: pre-existing maternal-fetal factors, along with the indication for general anesthesia, increase the risk of catastrophic outcomes; the exact effect of the anesthetic technique on both is unknown. Objective: to evaluate maternal and perinatal outcomes in patients undergoing cesarean surgery under general anesthesia at the Hospital Civil de Guadalajara Fray Antonio Alcalde. Material and methods: observational, cross-sectional, descriptive, and analytical study; patients who underwent cesarean sections under general anesthesia were included. Maternal, perinatal, and surgical procedure variables were recorded; statistical analysis was performed using SPSS v29 Software. Results: 7,253 cesarean section patients, between 2019 and 2023, under general anesthesia, 305 patients (incidence 4.21%), age 25.11 ± 6.81 years, gestation of 35.85 ± 4.06 weeks; main diagnosis hypertensive disorder (37%). Airway instrumentation complications, 3 patients (1%), 34 patients with neuroaxial block problems requiring general anesthesia. Perinatal outcomes: 296 were born alive, Apgar ≤ 7 (62.5%). The association between Apgar ≤ 7 and admission to neonatal therapy had an OR of 3.36 (p = 0.004). Conclusions: pre-existing maternal pathologies are associated with adverse outcomes, higher risk of maternal and neonatal therapy admission. The condition of non-reassuring fetal status was associated with resolutive surgery, normal postpartum evolution, vigorous newborns, low Apgar score recovery correlated with lower risk of neonatal therapy admission.


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