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Anesthesia for Operative Caesarean Section Delivery

- Research Gaps

Literature review shows insufficient research data that need further studies for:

-        Type of anesthesia indicated for elective or emergency CS for patients with Preeclampsia/Eclampsia.

-        A specific platelet counts predictive of neuraxial anesthetic complications (has not been determined).

-        Role of Antibiotic prophylaxis for prevention of postpartum sepsis/septic shock.

-        Choice of adjuvant medications (neuraxial, IV, inhalational) administered for inadequate neuraxial blocks.

-        The role of thromboprophylaxis.

-        Management of intraoperative massive hemorrhage during CS in low-resource centers.

-        Observational studies evaluating safety, feasibility, and outcomes of adjuvant use (e.g., ketamine, dexmedetomidine) in resource-constrained environments.

-        Prospective studies assessing patient-reported outcomes and long-term psychological sequelae in women experiencing intraoperative pain under neuraxial anesthesia.