Abstract
Advantages of epidural anesthesia over spinal anesthesia in CS
Background: Regional anesthesia (spinal or epidural anesthesia) for caesarean
section is the preferred option when balancing risks and benefits to the mother
and her fetus. epidural anesthesia for caesarean section is thought to be
advantageous due to prevent the pain during and after the caesarean section.
Objective: The aim of this study was to assess the anesthesiologists’
knowledge about epidural anesthesia in caesarean section in Sana’a city,
Yemen.
Methodology: A cross-sectional descriptive design was utilized in the current
study. Study populations composed 47 anesthesiologists working at Sana’a city
Hospitals, Yemen. A self-administered questionnaire adopted from FDA 1993,
was used to collect necessary data, after obtaining verbal consents.
Result: Regarding emergency ventilation equipment checkout, 93% of the
anesthesiologists verify the equipment for availability, and 84.2% checked
them for functioning, and 73.7% checked oxygen cylinder supply. About three
quarters (75.4%) of them adjusted the flow of all gases through their full range,
and more than two thirds (68.4%) ensured proper connections between the
scavenging system and both APL (pop-off) valve and ventilator relief valve. In
final status check of machine, 56.1%, of the participants recognized APL valve
open, and two thirds of them incorrectly reported setting vaporizers off.
Conclusion: Both spinal and epidural techniques are shown to provide effective
anesthesia for caesarean section. Both techniques are associated with moderate
degrees of maternal satisfaction. Spinal anesthesia has a shorter onset time;
However, epidural anesthesia provides prevention of pain for a long time, which
continues until after surgery. No conclusions can be drawn about intraoperative
side‐effects and postoperative complications because they were of low

incidence and/or not reported.

Researchers
Amr Mabkhout Naji Mujmmel, Abdulelah Shaif Abdullah Al-Hajjaji
Fekry Ali Lutfallah Manshalin ,Fo’ad Ali Mohammed Al-Hada
Najmaddin Mohammed Ahmed Abdo Dha’en , Akram Abdulghani Ahmed Al-mohia
Hosam Abdulkareem Abdulmajeed Al-jabrti, Aseel Yousef Ahmed Al-khawlany
Hatem Abdullah Ali Naif Saghe, er Osama Abdulnasser Mansour Abdulsafi
-Saydy Mohammed Saleh Al-Saydy , Osama Abdrabbuh Ahmed Al-laqasi

                           Supervisors 
   Dr. Mursal Al-naggar                   Dr. Jamil Mogali