Prevalence and types of obstetric anesthetic problems in Zagazig Obstetric Emergency Hospital

Results: 57.8% of cases that had spinal anesthesia showed hypotension. 13.9% of cases that received general anesthesia showed hypotension. Prophylactic 5-10 mg of ephedrine IV administration prior to spinal anesthesia showed great value in prevention of hypotension after spinal anesthesia (only 9.9% of patients who received the prophylactic ephedrine had shown hypotension after spinal anesthesia in comparison to the occurrence of hypotension in 75.37% of patients who had received spinal anesthesia without prophylactic ephedrine). The cases that showed perioperative morbidity and mortality were 6.25% of cases. 95% of them had received general anesthesia and 5% received regional anesthesia. 3% of the morbid cases ended up in mortality, and 100% of the mortality cases had received general anesthesia. The association of general anesthesia and the morbidity is due to the fact that risky and critical cases did not receive regional anesthesia to avoid the cardiovascular adverse effects and were given general anesthesia to achieve as much cardiovascular stability as possible Total number of babies admitted to NICU was 111 (3.5%) of which 82 (73.87%) had their mother received GA, 29 (26.13%) received regional anesthesia.