CONTRACEPTIVE USE AND UNMET FAMILY PLANNING NEEDS IN DERA GHAZI KHAN

Abstract

This study, conducted at AIMS Muzaffarabad (April–September 2024), compared 12 mg and 15 mg doses of bupivacaine for spinal anesthesia in elective cesarean sections. Maternal hypotension occurred in 16% of patients with 12 mg and 24% with 15 mg. Other complications like bradycardia, respiratory depression, nausea/vomiting, and patient discomfort were also assessed. The study concludes that 12 mg bupivacaine results in less hypotension, potentially reducing the need for interventions such as vasopressors or fluid overload