Caesarean section is one of the most performed surgery in some parts of USA with the rate increasing from 20.6 percent in 1997 to 31.5 percent in 2009. Current C-section rate in Europe ranges from 19 percent to 33 percent in South America from 30 percent to 50 percent and in Africa and other regions, C-section rates are rising with wide disparities being observed.
Two recent studies indicate that in Africa, the national C-section rate of two percent was reported in Burkina Faso compared to the rate of 52 percent in Egypt, indicating a similar pattern of extreme variation in C-section rates.
Indications for caesarean delivery:
Indications for caesarean delivery may be broadly classified into 3 groups:
a. Maternal indications
b. Fetal indications
c. Combined Maternal-fetal indications
AIM OF THE WORK:
The aim of this study was to compare between Hyperbaric prilocaine vs. hyperbaric bupivacaine for spinal anaesthesia in women undergoing elective caesarean.
Primary aim: Efficacy of the block as regard duration, time of onset, potency and the level of the block between 2% hyperbaric Prilocaine and hyperbaric 0.5% Bupivacaine in Spinal anesthesia for caesarean section.
Secondary aim: Intra-operative and post-operative complications of Spinal Anaesthesia.