Abstract
Objective: To compare general anesthesia (isoflurane-fentanyl), and spinal anesthesia when used in the first trimester and there effects on sub-trophoblastic blood flow using the three dimensional Transabdominal power Doppler ultrasonographic imaging. Study design: Prospective, cross-sectional, comparative study. Setting: Kasr El - Aini Hospitals. Patients: The study was conducted on 20 pregnant women underwent surgical procedures. Ten patients received general anesthesia (isoflurane-fentanyl), and ten patients received spinal anesthesia. Main outcome measures: Sub-trophoblastic blood flow index. Results: Sub-trophoblastic blood flow index after anesthesia was significantly higher in general anesthesia group 13(0.7) than the spinal group 10.3(0.9) p value 0.000. Conclusion: The study was concluded that the general anesthesia was better than spinal anesthesia in maintenance of perfusion of the small gestational sac in early pregnancy.
Published Version
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