Changes in the choice of anaesthetic techniques for caesarean sections among Turkish citizens and migrants during the COVID-19 pandemic: an interrupted time series analysis.

Publication date: Jul 02, 2025

The aim of the study was to examine the impact of the COVID-19 pandemic on changes in the choice of anaesthetic techniques for singleton caesarean sections among Turkish citizens and migrants before, during the first year of the COVID-19 pandemic, and after vaccination. This single-center, retrospective observational study was conducted at a tertiary care hospital in Istanbul, Turkey. It included data from 9,744 consecutive women-7,083 (72. 7%) Turkish citizens and 2,661 (27. 3%) migrants-who underwent singleton caesarean sections between March 2018 and March 2023. The primary outcome was the change in monthly utilization rates of neuraxial anaesthesia (NA) during the COVID-19 pandemic. Secondary objectives included caesarean section urgency and neonatal outcomes. During the study period, there was an increasing trend in the number of caesarean sections performed using NA among Turkish citizens and migrants (relative ratio [RR] 1. 003, P 

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