Abstract
(IJOA. 2016;26:8–14) The spread of spinal anesthesia may be increased during pregnancy, and hence pregnant women are considered to need a smaller dose of local anesthetic than nonpregnant women to achieve the same spinal block level. Data on spinal dosing for preterm (<37 wk of gestation) versus term (≥37 wk of gestation) parturients is limited. One earlier study found that standard doses of hyperbaric bupivacaine used for cesarean delivery failed to provide as high of a spinal block in women with preterm gestations compared to women at term. The aim of this study was to investigate the hypothesis that preterm gestation was associated with an increased risk of failed spinal anesthesia for cesarean delivery when compared with term gestation.
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