Vol. 7, Issue 2, Part G (2025)

Introduction: Neuroaxial blockade is the preferred anesthetic technique for cesarean sections due to its safety profile and efficacy in pain control. Its implementation requires assessing potential maternal complications arising from physiological changes during pregnancy. 
Objective: To determine the safety and efficacy of neuroaxial blockade in obstetric patients undergoing cesarean section. 
Methods: Observational, analytical-descriptive, longitudinal, and prospective study in a secondary-level hospital (IMSS, Puebla). One hundred and fifty adult patients undergoing cesarean section with neuroaxial anesthesia were included. Sociodemographic, clinical, and anesthetic variables were collected. Statistical analysis included descriptive statistics, chi-square tests, and linear regression.
Results: 94.7% received mixed neuroaxial blockade and 5.3% epidural blockade. Motor blockade was achieved in 100% and sensory blockade in 99.3%. Hypotension was the only reported complication (25.3%). There were no cases of toxicity, dural puncture, neurological syndrome, or massive spinal cord injury. 
Conclusions: Neuroaxial blockade is safe and effective in obstetric patients, with a low incidence of complications and adequate clinical effectiveness.