This study was undertaken to evaluate the trend of practice regional anaesthesia for caesarean section in a tertiary hospital. The obstetric operating room records were reviewed for a fourteen year period: January 1986 to December 1999. The anaesthetic techniques for caesarean section were noted as well as the level of training of the attending anaesthetist. A total of 3451 patients were delivered by caesarean section in the University of Benin Teaching Hospital during the 14- year period under review.
The ability of patients to walk without assistance after spinal anesthesia is a determining factor in the time to discharge following ambulatory surgery. The authors compared clinical markers of gross motor recovery with objective data of functional balance after spinal anesthesia.
A 26-yr-old woman presented at 33 weeks gestation with a generalized grand mal seizure. Magnetic resonance imaging demonstrated a 5-cm multi-lobulated extra axial mass compatible with an epidermoid cyst, arising from the left temporal lobe associated with shift of the midline structures and compression of the brainstem. She remained stable neurologically until elective Cesarean section at 38 weeks.