How Does Anesthesia Type Affect Maternal Complications (Hypotension, Respiratory Depression) and Neonatal Outcomes (Apgar Scores, Umbilical Cord Ph) in Women Undergoing Cesarean Delivery? A Systematic Review
Keywords:
Cesarean delivery, spinal anesthesia, general anesthesia, Apgar score, umbilical cord pHAbstract
Introduction: The global rise in cesarean delivery rates necessitates optimization of anesthetic techniques to improve maternal and neonatal outcomes. Despite numerous comparative studies, uncertainty persists regarding the optimal anesthesia strategy for cesarean delivery across different clinical contexts.
Methods: This systematic review synthesized evidence from 76 studies published, comprising randomized controlled trials, etc. Studies were included if they compared anesthesia types for cesarean delivery and reported maternal outcomes (hypotension, blood loss, respiratory depression) or neonatal outcomes (Apgar scores, umbilical cord blood gases). Data were extracted on study characteristics, patient populations, anesthesia techniques, and outcome measures. Harvard citation style was applied throughout.
Results: Regional anesthesia, particularly spinal techniques, was associated with significantly higher 1-minute Apgar scores (mean difference 0.58 points; 95% CI 0.36-0.79; p<0.001) and reduced need for neonatal respiratory support (RR 0.62; 95% CI 0.40-0.94; p=0.03) compared to general anesthesia. By 5 minutes, Apgar differences diminished but remained significant (MD 0.09; p<0.001). Umbilical artery pH showed inconsistent differences between techniques, with values generally within normal ranges. Spinal anesthesia was associated with higher hypotension incidence (25-80%) versus epidural (23%) or general anesthesia (2-13%). General anesthesia was associated with increased blood loss (mean difference 75.8 mL), higher transfusion requirements, and greater postoperative pain. Norepinephrine demonstrated superior hemodynamic stability compared to phenylephrine with less bradycardia (RR 0.44). In high-risk populations (preeclampsia, placenta previa, fetal growth restriction), outcomes were predominantly determined by underlying pathology rather than anesthesia technique per se.
Conclusion: Regional anesthesia is the preferred technique for most cesarean deliveries due to superior neonatal transition profiles and reduced maternal morbidity. General anesthesia remains essential for specific indications where rapid delivery is required or neuraxial techniques are contraindicated. Optimal outcomes require individualized risk stratification and proactive hemodynamic management.
References
A. Al-Sanjary. “MATERNAL AND NEONATAL OUTCOME ACCORDING TO THE TYPE OF ANESTHESIA DURING CAESAREAN SECTION.” Georgian Medical News, 2025.
A. Banerjee, R. Stocche, P. Angle, and S. Halpern. “Preload or Coload for Spinal Anesthesia for Elective Cesarean Delivery: A Meta-Analysis.” Canadian Journal of Anaesthesia-Journal Canadien D Anesthesie, 2011.
A. Saygi, Ö. Özdamar, İ. Gün, H. Emirkadı, E. Müngen, and Y. K. Akpak. “Comparison of Maternal and Fetal Outcomes Among Patients Undergoing Cesarean Section Under General and Spinal Anesthesia: A Randomized Clinical Trial.” Sao Paulo Medical Journal = Revista Paulista de Medicina, 2014.
A. Sivevski. “Effects of Varying Doses of Plain Bupivacaine with Fentanyl in Patients Undergoing Cesarean Section: Haemodinamics and Neonatal Outcome,” 2009.
Adekunle Durodola, O. Adekola, P. Agbamu, Olusolape Akinwilliams, and J. Olatosi. “Maternal Hypotension and Fetal Outcome: Effect of Height-Adjusted and Weight-Adjusted Dose Versus Fixed Dose of 0.5% Intrathecal Hyperbaric Bupivacaine,” 2021.
Akshatha V Rai, S. Prakash, H. Chellani, Parul Mullick, and R. Wason. “Comparison of Phenylephrine and Norepinephrine for Treatment of Spinal Hypotension During Elective Cesarean Delivery- A Randomised, Double-Blind Study.” Journal of Anaesthesiology Clinical Pharmacology, 2022.
Alma Soxhuku-Isufi, V. Shpata, and Hektor Sula. “Maternal and Neonatal Effects of Vasopressors Used for Treating Hypotension After Spinal Anesthesia for Caesarean Section: A Randomized Controlled Study.” Open Access Macedonian Journal of Medical Sciences, 2015.
Amr F. El-Behiry, Ahmed T. Abd El-Fatah, Osama M. Dief, Ali A. Al-Kumity, and Tarek K. Al-Sayad. “GENERAL VERSUS REGIONAL ANESTHESIA IN ELECTIVE CESAREAN SECTION AND ITS EFFECT ON NEONATAL WELLBEING.” Al-Azhar Medical Journal, 2023.
Anjishnujit Bandyopadhyay, C. Sawhney, P. Haldar, and Sharmishtha Pathak. “Effect of Prophylactic Phenylephrine Versus Norepinephrine on Foeto-Maternal Outcomes in Caesarean Delivery Under Neuraxial Anaesthesia: A Systematic Review and Meta-Analysis with Trial Sequential Analysis.” Indian Journal of Anaesthesia, 2025.
B. Hassan, Raafat Abdelazim, DaliaAbdel-Hamid, Sanaa Farag, and H. Toulan. “A COMPARATIVE STUDY BETWEEN THE EFFECT OF PRE-LOAD COLLOID AND CO-LOAD CRYSTALLOID ADMINISTRATION ON BLOOD PRESSURE AFTER SPINAL ANESTHESIA IN ELECTIVE CESAREAN DELIVERY.” Ain Shams Medical Journal, 2020.
B. Zahid, M. Khan, MZ Hanif, A. Tahir, T. Nazeer, and Ssr Kazmi. “APGAR SCORE: COMPARISON OF GENERAL ANAESTHESIA VS SPINAL ANAESTHESIA.” Biological and Clinical Sciences Research Journal, 2023.
Bedih Balkan, Mehmet Ozbas, Furkan Tontu, G. Yıldız, G. Hergünsel, Ismail Alay, and A. Yektaş. “Comparison of Anesthesia Techniques Used in Cesarean Deliveries on the Neonate - Anesthesia Techniques and Neonate?” American Journal of Anesthesia & Clinical Research, 2019.
C. Chung, S. Choi, Kwang-Hwan Yeo, H. Park, Soo-il Lee, and Y. Chin. “Hyperbaric Spinal Ropivacaine for Cesarean Delivery: A Comparison to Hyperbaric Bupivacaine.” Anesthesia and Analgesia, 2001.
Chengwen Li, Yandong Li, Kun Wang, and Xiangang Kong. “Comparative Evaluation of Remifentanil and Dexmedetomidine in General Anesthesia for Cesarean Delivery.” Medical Science Monitor, 2015.
Chong-hua Li, Chun-xian Zhu, and Jing He. “[Effects of General Anesthesia for Cesarean Section on Infants].” Zhonghua Fu Chan Ke Za Zhi, 2006.
Chu Cheng, Alan Hsi-Wen Liao, Chien-Yu Chen, Yu-Cih Lin, and Y. Kang. “A Systematic Review with Network Meta-Analysis on Mono Strategy of Anaesthesia for Preeclampsia in Caesarean Section.” Scientific Reports, 2021.
Chun-xian Zhu, Hong Chen, and He Huang. “[Comparison of the Effects of General and Epidural Anesthesia for Cesarean Section on Fetuses].” Zhonghua Fu Chan Ke Za Zhi, 2005.
Dr Subha, Dr Linette J Morris, and Dr Suma. “Maintenance of Arterial Pressure During Spinal Anaesthesia in Caesarean Section – Comparison of Intravenous Phenylephrine Hydrochloride and Ephedrine,” 2018.
Dr Suma R. “Maintenance of Arterial Pressure During Spinal Anaesthesia in Caesarean Section – Comparison of Intravenous Phenylephrine Hydrochloride and Ephedrine.” Journal of Medical Science And Clinical Research, 2018.
E. Uysallar, S. Karaman, İlkben Günüşen, M. Uyar, and V. Fırat. “[Comparison of the Maternal and Neonatal Effects of Combined Spinal-Epidural Block and Spinal Block for Cesarean Section].” Agri : Agri (Algoloji) Dernegi'nin Yayin Organidir = The Journal of the Turkish Society of Algology, 2011.
F. Moslemi, and S. Rasooli. “Comparison of Prophylactic Infusion of Phenylephrine with Ephedrine for Prevention of Hypotension in Elective Cesarean Section Under Spinal Anesthesi: A Randomized Clinical Trial.” Iranian Journal of Medical Sciences, 2015.
Fatma Nurgül Taşgöz, and Nermin Kılıçarslan. “Effect of Anesthesia Type on Outcome Measures in Cesarean Section in the Presence of Fetal Macrosomia.” Revista Da Associação Médica Brasileira, 2022.
G. Aydın, F. Coşkun, A. Şahin, and U. Aypar. “Influence of Sevoflurane and Desflurane on Neurological and Adaptive Capacity Scores in Newborns.” Saudi Medical Journal, 2008.
G. Çağlar, P. Erdoğdu, A. Y. Gursoy, R. Şeker, and S. Demirtaş. “The Impact of Route of Anesthesia on Maternal and Fetal Ischemia Modified Albumin Levels at Cesarean Section: A Prospective Randomized Study.” Journal of Perinatal Medicine, 2013.
G. Draisci, A. Valente, E. Suppa, L. Frassanito, R. Pinto, F. Meo, P. D. Sole, E. Bossu, and B. Zanfini. “Remifentanil for Cesarean Section Under General Anesthesia: Effects on Maternal Stress Hormone Secretion and Neonatal Well-Being: A Randomized Trial.” International Journal of Obstetric Anesthesia, 2008.
G. Petropoulos, Charalambos Siristatidis, Emmanuel Salamalekis, and Georgios Creatsas. “Spinal and Epidural Versus General Anesthesia for Elective Cesarean Section at Term: Effect on the Acid–Base Status of the Mother and Newborn.” Journal of Maternal-Fetal & Neonatal Medicine, 2003.
H. Feng, Yanwu Jin, and Le-qiang Han. “Placental Transfer and Neonatal Effects of Propofol for Cesarean Section,” 2009.
Houman Teymourian, S. Khorasanizadeh, P. Ansar, L. Nazari, and M. Ebrahimy Dehkordy. “Comparison of the Effect of Bupivacaine in Combination with Dexmedetomidine with Bupivacaine Plus Placebo on Neonatal Apgar Score, Bispectral Index, and Sedation Level of Parturient Women.” Anesthesiology and Pain Medicine, 2018.
Iqra Nazir, M. Bhat, Syed Mohammad Qazi, Velayat N. Buchh, and S. Gurcoo. “Comparison Between Phenylephrine and Ephedrine in Preventing Hypotension During Spinal Anesthesia for Cesarean Section,” 2012.
Jasveer Singh, Jaskaran Singh, S. Mitra, L. Anand, B. Goel, and M. Kaur. “Comparison of Prophylactic Phenylephrine and Norepinephrine Infusion on Umbilical Arterial pH and Maternal Blood Pressure During Spinal Anaesthesia for Caesarean Delivery.” Indian Journal of Anaesthesia, 2022.
Jun Wei, Guo-li Liu, M. Liang, and Shan-mi Wang. “[Effect of General Anesthesia Used in Cesarean Section on Maternal-Neonatal Outcome of Pregnancy Complicated with Severe Thrombocytopenia].” Zhonghua Fu Chan Ke Za Zhi, 2009.
K. Chapron, J. Sleth, X. Capdevila, S. Bringuier, and C. Dadure. “Hyperbaric Prilocaine Vs. Hyperbaric Bupivacaine for Spinal Anaesthesia in Women Undergoing Elective Caesarean Section: A Comparative Randomised Double‐blind Study.” Anaesthesia, 2021.
K. Jain, N. Bhardwaj, A. Sharma, J. Kaur, and Praveen Kumar. “A Randomized Comparison of the Effects of Low-Dose Spinal or General Anesthesia on Umbilical Cord Blood Gases During Cesarean Delivery of Growth-Restricted Foetuses With Impaired Doppler Flow,” 2014.
L. Cojocaru, Cristiana Salvatori, A. Sharon, H. Seung, Katherine Nyman, B. Kodali, and O. Turan. “General Versus Regional Anesthesia and Neonatal Data: A Propensity-Score-Matched Study.” American Journal of Perinatology, 2021.
L. Fabris, D. Belci, K. Š. Zdravčević, Z. Hrgović, and L. Šakić. “Do We Need Cephalic Spread of Spinal Anaesthesia for Caesarean Section? A Different Approach to CSE-EVE for Reducing Hypotension.” Zeitschrift Für Geburtshilfe Und Neonatologie, 2013.
Lada Kalagac, D. Belci, L. Šakić, and Z. Hrgović. “An Different Approach to CSE-EVE for Reducing Hypothension During Caesarean Section Under Spinal Anaesthesia,” 2020.
M. Bakri, E. Ismail, G. Ghanem, and M. Shokry. “Spinal Versus General Anesthesia for Cesarean Section in Patients with Sickle Cell Anemia.” Korean Journal of Anesthesiology, 2015.
M. Haque, M. Aleem, Pervez Altaf Hossain, Md. Abu Baker Siddique, and A. Islam. “Ephedrine Versus Phenylephrine: Prevention of Hypotension During Spinal Anaesthesia for Cesarean Section and Effects on the Fetus.” Journal of the Bangladesh Society of Anaesthesiologists, 2017.
M. Khooshideh, and MH Heidari. “Comparison of the Hemodynamic Effects of Pretreatment with Crys-Talloids Versus Crystalloids Plus Ephedrine During Spinal Anesthesia for Caesarean Section.” 2009.
M. Mohta, S. Duggal, and G. Chilkoti. “Randomised Double‐blind Comparison of Bolus Phenylephrine or Ephedrine for Treatment of Hypotension in Women with Pre‐eclampsia Undergoing Caesarean Section.” Anaesthesia, 2018.
M. Nafie, and Saeed Abdulrahman Ismael. “Comparing Effects of Caesarean Section Using Spinal and General Anesthesia on Neonatal Short-Term Outcome,” 2016.
M. Rafiei, Z. Tabasi, and Sayed Gholam Abbas Mousavi. “Effects of General and Spinal Anesthesia With Marcaine on Maternal Hemodynamic and Newborns’ Apgar Score,” 2005.
M. Shokrpour, Parisa Pour Seyed Reza, M. Sharifi, and A. Kamali. “Prevalence of Cesarean Section and Analysis of Neonatal Apgar Score and the Mean Time of Second Phase of Labor in Pregnant Women.” Medical Archives, 2019.
M. Tolyat, Malihe Zanguoie, and Reza Zanguoie. “Comparative Study of the Effect of General Anesthesia with Propofol, Sodium Thiopental and the Combination of Propofol-Thiopental on Apgar Score of Newborn Babies in the Cesarean Delivery,” 2016.
M. Van de Velde, D. van Schoubroeck, J. Jani, A. Teunkens, C. Missant, and J. Deprest. “Combined Spinal-Epidural Anesthesia for Cesarean Delivery: Dose-Dependent Effects of Hyperbaric Bupivacaine on Maternal Hemodynamics.” Anesthesia and Analgesia, 2006.
Mai W. Abdallah, N. Elzayyat, M. Abdelhaq, and A. Gado. “A Comparative Study of General Anesthesia Versus Combined Spinal–Epidural Anesthesia on the Fetus in Cesarean Section,” 2014.
Maj Sadiqa Batool, and A. S. Malik. “COMPARISON OF SPINAL VERSUS GENERAL ANAESTHESIA FOR PATIENTS UNDERGOING LOWER SEGMENT CAESAREAN SECTION,” 2010.
Masoud Khoshbin, A. Shajari, and Golzar Sharifian. “Comparing the Conventional with Low Dose of Bupivacaine Plus Fentanyl in Spinal Anesthesia on the Neonate Apgar Score in Yazd City,” 2020.
Mohammadreza Gousheh, R. Akhondzade, Hamid Asl Aghahoseini, A. Olapour, and Mahbobe Rashidi. “The Effects of Pre-Spinal Anesthesia Administration of Crystalloid and Colloid Solutions on Hypotension in Elective Cesarean Section.” Anesthesiology and Pain Medicine, 2018.
Morteza Hashemian, Mohsen Barouni, Zahra Honarvar, Katayoun Alidousti, S. Mohajerani, and Leila Rezaeizadeh. “Comparison of Ropivacaine Versus Bupivacaine in Spinal-Induced Hypotension in Preeclampsia Patients: A Randomized Control Trial.” Anesthesiology and Pain Medicine, 2024.
Muhammad Dilawar, Bilal Rasool, Fatima Zahra, Izza Noor, Muhammad Adnan, Sarmad Siddique, and Mubeen Ahmad. “Comparative Analysis of Bupivacaine Versus Ropivacaine in Cesarean Section Surgery.” Journal of Health, Wellness and Community Research, 2025.
Mustafa Bajraktari, B. Arapi, G. Huti, Asead Abdyli, and R. Domi. “Ephedrine Infusion with Rescue Ephedrine Boluses Versus Rescue Boluses Alone for Preventing Hypotension During Spinal Anesthesia for Cesarean Delivery.” Albanian Journal of Trauma and Emergency Surgery, 2023.
N. Higgins, P. Fitzgerald, D. Van Dyk, R. Dyer, Natalie Rodriguez, R. McCarthy, and C. Wong. “The Effect of Prophylactic Phenylephrine and Ephedrine Infusions on Umbilical Artery Blood pH in Women With Preeclampsia Undergoing Cesarean Delivery With Spinal Anesthesia: A Randomized, Double-Blind Trial.” Anesthesia and Analgesia, 2017.
Nadia M. Madkour, S. Ibrahim, and GehanF Ezz. “General Versus Spinal Anesthesia During Elective Cesarean Section in Term Low-Risk Pregnancy as Regards Maternal and Neonatal Outcomes: A Prospective, Controlled Clinical Trial.” Research and Opinion in Anesthesia and Intensive Care, 2019.
NAnita Devi, ArunKumar Natarajan, NongthombamRatan Singh, LaithangbamPradipkumar Singh, RajkumariShanti Devi, and Ashem Jack. “Comparison of Intravenous Bolus Phenylephrine and Intravenous Ephedrine During Crystalloid Coloading in Ameliorating Hypotension Under Spinal Anesthesia for Caesarean Section,” 2015.
Panop Limratana, Taniga Kiatchai, Pawit Somnuke, Pavita Prapakorn, and S. Suksompong. “The Effect of Baricity of Intrathecal Bupivacaine for Elective Cesarean Delivery on Maternal Cardiac Output: A Randomized Study.” International Journal of Obstetric Anesthesia, 2020.
Praful J. Zinzuwadia, Dipika P. Patel, Paresh N. Sheth, and Aneri Patel. “A Comparative Study of Hyperbaric Bupivacaine with Fentanyl and Sequential Administration of Isobaric and Hyperbaric Bupivacaine with Fentanyl in Caesarean Delivery.” International Journal of Reproduction Contraception Obstetrics and Gynecology, 2025.
Qianqian Fan, Yong-hui Wang, Jingwen Fu, Hai‐long Dong, Manping Yang, Duohu Liu, Xiao-fan Jiang, Zhi-Xin Wu, L. Xiong, and Zhi-hong Lu. “Comparison of Two Vasopressor Protocols for Preventing Hypotension Post-Spinal Anesthesia During Cesarean Section: A Randomized Controlled Trial.” Chinese Medical Journal, 2021.
Rashmi Thapa, Pooja Paudyal, Bishwas Pradhan, M. Koirala, and B. Parajuli. “Comparison Between Hyperbaric Bupivacaine with and Without Fentanyl in Reducing Visceral Pain During Cesarean Delivery Under Spinal Anaesthesia.” Journal of Nepal Health Research Council, 2025.
Renu Wakhloo, R. Devi, Megha Gandotra, and V. Kant. “Comparison of Norepinephrine Bolus Versus Infusion for Prevention of Post-Spinal Hypotension in Parturients with Preeclampsia Undergoing Cesarean Section.” Journal of Obstetric Anaesthesia and Critical Care, 2023.
S. Karaman, F. Akercan, T. Akarsu, V. Fırat, Ozge Ozcan, and N. Karadadaş. “Comparison of the Maternal and Neonatal Effects of Epidural Block and of Combined Spinal-Epidural Block for Cesarean Section.” European Journal of Obstetrics, Gynecology, and Reproductive Biology, 2005.
S. Mekonnen, and Kokeb Desta. “Effects of Types of Anesthesia on Neurobehavioral Response and Apgar Score inNeonates Delivered with Cesarean Section in Dilla University Referral Hospital,” 2016.
S. Mekonnen, and S. Ahmed. “Effects of General Anesthesia Vs Regional Anesthesia on Neonatal Outcomes: A Systemic Review and Mata Analysis,” 2016.
S. Visalyaputra, Oraluxna Rodanant, W. Somboonviboon, K. Tantivitayatan, S. Thienthong, and Wanawimol Saengchote. “Spinal Versus Epidural Anesthesia for Cesarean Delivery in Severe Preeclampsia: A Prospective Randomized, Multicenter Study.” Anesthesia and Analgesia, 2005.
Saeed Jalili, Mitra Hojatansari, and Somayeh Abdollahi Sabet. “Comparison of the Effects of Norepinephrine and Phenylephrine Infusion in Preventing Hypotension During Spinal Anesthesia for Cesarean Delivery: A Randomized, Double-Blind Clinical Trial.” Archives of Iranian Medicine, 2025.
Sarah Langer, Grace Lim, Yue Qiu, Jingyuan Biaesch, and Mark D. Neuman. “Neonatal Outcomes with Regional Versus General Anesthesia for Cesarean Delivery: A Meta-Analysis of Randomized Controlled Trials.” Anesthesiology, 2025.
Serveh Mohammadi, Behzad Imani, Sina Ghasemi, and Behzad Shalmashi. “Effect of Anesthesia Type on Pain and Hemodynamic Parameters in Cesarean Section Surgery: Randomized Controlled Trial.” Zahedan Journal of Researches in Medical Sciences, 2024.
Sumit Kumar Raman, Vishal Kamal, and Chhabindra Kumar. “A Randomized Study Comparing Phenylephrine and Noradrenaline Boluses for Treating Spinal-Induced Hypotension During Elective Cesarean Delivery.” International Journal of Pharmaceutical Quality Assurance, 2025.
Syed Khurram Naseer, Aijaz Ali, Shizan Hamid Feroz, and Amir Sohail. “COMPARISON OF NEONATAL APGAR SCORES AND PATIENT SATISFACTION LEVELS IN SPINAL VERSUS GENERAL ANESTHESIA IN ELECTIVE CESAREAN SECTIONS.” PAFMJ, 2021.
T. Hung, Yin-Shan Huang, and Yingfeng Lin. “Maternal and Neonatal Outcomes with the Addition of Intrathecal Midazolam as an Adjuvant to Spinal Anesthesia in Cesarean Delivery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” Journal of Clinical Anesthesia, 2022.
Tao Kang, Jiwei Tao, Xuetao Wang, Yu Liu, and Dan Jin. “Epidural Ropivacaine Versus Bupivacaine for Cesarean Sections: A System Review and Meta-Analysis.” Journal of Maternal-Fetal & Neonatal Medicine, 2024.
Tianjiao Liu, Yangyang Wang, Xinyu Xiao, Zhi Chen, Xin Li, and Chunmei Liu. “Comparison of Maternal and Neonatal Outcomes Between General Anesthesia and Combined Spinal-Epidural Anesthesia in Cesarean Delivery for Pregnancy Complicated with Placenta Previa.” BMC Anesthesiology, 2025.
Tuvshin Bao, Lingxia Niu, Bing-qing Nie, P. Gui, Qiang Xu, Leiming Xia, Yun Lin, and S. Yao. “Effects of Different Modes of Anesthesia on Maternal and Neonatal Outcomes in Puerperas with Placenta Previa and Accreta Undergoing Cesarean Section for Second Birth,” 2019.
Udita Naithani, Isha Garg, Shweta Jain, R. Navaria, Bishan Bairwa, and Manish Rao. “Comparison of Intrathecal Hyperbaric Ropivacaine and Bupivacaine in Cesarean Section.” Academia Medicine and Health, 2025.
Ulku Arslan, Nilgun Kavrut Ozturk, A. S. Kavakli, and Hatice Ozge Dagdelen. “Comparison of the Effects of Anaesthesia Methods Used in Caesarean Delivery on Neonatal Cerebral and Renal Oxygenation: A Randomised Controlled Trial.” Journal of Clinical Medicine, 2024.
Ushma H Thakar, Gauri. M Panjabi, Dev Desai, Vismit Gami, Severe preeclampsia, J. Anesth, and Pain Med. “Comparison of Spinal Versus General Anesthesia for Caesarean Section in Patients with Severe Preeclampsia.” Journal of Anesthesia &Amp; Pain Medicine, 2024.
Y. Lei, Cheng Xu, Yang Di, and Ru-Rong Wang. “General Versus Neuraxial Anesthesia in Cesarean Section: A Systematic Review,” 2017.
Yanrong Zhang, Sisi Dai, Xiaowei Gao, Yanan Cao, Yue Yang, and Zhong-tang Zhang. “Effect of Anesthesia Factor on Prognosis of Cesarean Section in Parturients with Medium and Severe Pulmonary Arterial Hypertension,” 2019.
Yasmin Hassabelnaby, A. Hasanin, Mohamed Shamardal, M. Mostafa, Rana M Zaki, Mona Elsherbiny, and Sherin Refaat. “Epinephrine Vs. Phenylephrine Infusion for Prophylaxis Against Maternal Hypotension After Spinal Anesthesia for Cesarean Delivery: A Randomized Controlled Trial.” Journal of Anesthesia, 2024.
Yi Chen, Lei Guo, Rui Qin, Nan Xi, Shengfu Wang, Yujie Ma, and Xinli Ni. “Dose-Response Study of Norepinephrine Infusion for Maternal Hypotension in Preeclamptic Patients Undergoing Cesarean Delivery Under Spinal Anesthesia.” Clinical Pharmacokinetics, 2024.
Zehra Neşe Kavak, A. Basgul, and N. Ceyhan. “Short-Term Outcome of Newborn Infants: Spinal Versus General Anesthesia for Elective Cesarean Section. A Prospective Randomized Study.” European Journal of Obstetrics, Gynecology, and Reproductive Biology, 2001.
Zhiqiang Yu, Peijun Zhang, Haiyun Wang, Li Zhang, Wei Wei, Wenqian Fang, and Xingbo Mu. “Effects of Dexmedetomidine Versus Remifentanil on Mothers and Neonates During Cesarean Section Under General Anesthesia.” Biomedical Papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia, 2019.
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