Clinical Study

Society Of Obstetric Anesthesia And Perinatology Registry For General Anesthesia Use During C Section

Posted Date: Apr 22, 2024

  • Investigator: Andrea Girnius
  • Specialties: Obstetrics, Women's Health
  • Type of Study: Observational/Survey

The Society for Obstetric Anesthesia and Perinatology (SOAP) was founded in 1968 to provide a forum for discussion of problems unique to the peripartum period. SOAP is comprised of anesthesiologists, obstetricians, pediatricians, and basic scientists from around the world who share an interest in the care of the obstetric patient and the newborn. The mission of SOAP is to advance and advocate for the health of pregnant and postpartum women and their babies through research, education, and best practices in obstetric anesthesia care. Our vision is safe and equitable care for women and newborns everywhere. Obstetric Anesthesia professional organizations in the US and Europe recommend neuraxial rather than general anesthesia whenever feasible for cesarean delivery because of a lower risk of maternal and neonatal morbidity.1,2 The 2020 Royal College of Anaesthetists (RCoA) audit specified that “best practice” is for <5% of category 4 (elective) cesarean deliveries and <50% of category 1 (emergency) cesarean deliveries be performed under general anesthesia. Although the maternal mortality risks related to neuraxial and general anesthesia are no longer statistically different,4 recent retrospective studies have associated “avoidable general anesthetics” with increased odds of severe maternal anesthetic complications as well as other morbidities such as surgical site infections, postoperative venous thromboembolism,5 and in exploratory analyses, severe postpartum depression requiring hospitalization The SOAP registry is a prospective, multicenter, electronic registry. The goal is to investigate the indications, mode of airway management, predisposing factors, and obstetric and anesthetic outcomes of pregnant patients who receive general anesthesia for cesarean delivery. This could potentially reduce severe maternal anesthetic complications and lower the risk of maternal and neonatal morbidity. The registry aims to ultimately form the basis of evidence based, consensus guidance for minimizing the use of, and optimizing the conduct of, general anesthesia for cesarean delivery.

Criteria:

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Keywords:

Obstetric Anesthesia, Cesarean Section

For More Information:

Andrea Girnius
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girniuaa@ucmail.uc.edu