Dr. Chapa’s OBGYN Clinical Pearls Use GA at CS Electively? Maybe, Maybe.
Nov 19, 2025
The podcast dives into the evolving debate on anesthesia for cesarean sections. It reveals that approximately one in six women may experience pain with regional anesthesia. A recent meta-analysis suggests general anesthesia might be a valid elective option. Concerns about maternal mental health and potential developmental impacts on children are explored, highlighting links to postpartum depression. Practical factors for choosing anesthesia are also discussed, making it a comprehensive look at the challenges and considerations in delivering care.
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Short-Term Neonatal Outcomes Similar
- A new meta-analysis found no meaningful difference in short-term neonatal outcomes between regional and general anesthesia for C-section.
- This supports discussing GA as an option in select cases but doesn't recommend it as first-line for all patients.
Colleague's Text Sparked This Episode
- Dr. Chapa received a late-night text from a colleague who'd heard secondhand that GA should be used for all C-sections.
- That prompted this episode to correct misinterpretation and emphasize reading studies directly.
Discuss GA When Individual Factors Apply
- If a patient requests elective general anesthesia for C-section, open the conversation and consider individual factors like prior traumatic regional experiences or spinal hardware.
- Use shared decision-making and document the discussion rather than automatically defaulting to regional only.
