title: Retrospective Evaluation of Anaesthetic Techniques for Caesarean.
abstract: OBJECTIVE
  This study aimed to evaluate the maternal, foetal and neonatal effects of anaesthetic techniques used in caesarean sections (C/S) retrospectively over 6 years at the Hospital of Medical School of Dokuz Eylül University and to compare the results with the literature from Turkey and developed countries.
  
  
  METHODS
  After obtaining approval from the ethics committee, anaesthetic and gestational data from all caesarean operations performed over a 6-year period between 2005 and 2010 was retrospectively obtained from hospital archives.
  
  
  RESULTS
  During this period, a total of 10,819 labours was conducted and C/S ratio was 55% with 5953 patients. General anaesthesia was performed in 1479 patients (24.8%) and regional anaesthesia was performed in 4474 patients (75.2%) [Spinal anaesthesia for 1203 patients (26.9%), epidural anaesthesia for 830 patients (18.5%) and combined spinal-epidural anaesthesia for 2441 patients (54.6%)]. In 2010, regional anaesthesia ratio increased to 84.6%, whereas in 2005, it was 63.8%. Regional anaesthesia was used significantly more often in both elective and urgent patients (82% elective and 65.2% emergency). Because of failed regional anaesthesia or surgical complications, anaesthesia was changed to general anaesthesia in 215 patients (4.8%). APGAR scores in 1 and 5 min were significantly higher with regional anaesthesia when compared with general anaesthesia.
  
  
  CONCLUSIONS
  Regional anaesthesia rate for C/S patients in the Hospital of Medical School of Dokuz Eylül University is increased and is higher than Turkey's average; but these figures are still lower than those in the developed countries.
authors.affiliation: Department of Anaesthesiology and Reanimation, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
authors.forename: Melek Aksoy
authors.initials: MA
authors.lastname: Sarı
authors.affiliation: Department of Anaesthesiology and Reanimation, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
authors.forename: Semih
authors.initials: S
authors.lastname: Küçükgüçlü
authors.affiliation: Department of Anaesthesiology and Reanimation, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
authors.forename: Şule
authors.initials: Ş
authors.lastname: Özbilgin
authors.affiliation: Department of Anaesthesiology and Reanimation, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
authors.forename: Ferim Sakize
authors.initials: FS
authors.lastname: Günenç
authors.affiliation: Faculty of Medicine Student, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
authors.forename: Sümeyye
authors.initials: S
authors.lastname: Mercan
authors.affiliation: Faculty of Medicine Student, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
authors.forename: Ayşenur
authors.initials: A
authors.lastname: Esen
authors.affiliation: Faculty of Medicine Student, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
authors.forename: Büşra
authors.initials: B
authors.lastname: Yetim
keywords: Caesarean section; anaesthesia; regional anaesthesia; retrospective study