Journal of Women's Health Care
Open Access

Abstract

Three Dimensional Transabdominal Power Doppler Ultrasonographic Imaging of Trophoblastic Blood Flow as a Prognostic Parameter in the First Trimester after Isoflurane Fentanyl, versus Spinal Anesthesia

Hala M Goma, Nesrine A Refaei and Amr M AouEla

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.