Azra Sultana, Zubaida Masood, Shehnaz Hasan.
Effect of type of Anesthesia on Neonatal outcome
Ann Abbasi Shaheed Hosp Karachi Med Dent Coll Dec 2004;9(2):552-7.
KMDC and Abbasi Shaheed Hospital, Karachi

Fifty uncomplicated pregnant women who were to be delivered at term by elective cesarean section were included. They were randomized to receive spinal or general anesthesia. We took two groups of 25 patients each. One received general anesthesia and other spinal anesthesia. We compared Apgar scores in two groups. Results: We had 25 newborns for spinal anesthesia and 25 for general anesthesia. Apgar scores of infants whose mothers received general anesthesia were lower than infants, whose mothers received spinal anesthesia. The infant`s apgar score at 1 minute as 8.1 +/- 0.7 in spinal anesthesia and 6.9 +/- 0.73 in general anesthesia. Apgar score at 5 minute was 9.8 +/- 0.41 in spinal anesthesia and 9.52 +/- 0.71 in general anesthesia. The difference in the mean apgar score at 1 and 5 minutes between general anesthesia and spinal group was significant. A slightly better Apgar score also noted where deliveries interval was less than 10 minutes. Conclusion: We observed that Apgar score of neonat4es who mothers received general anesthesia were lower than neonates whose mothers received spinal anesthesia.

Category: Anesthesia
Keywords: Neonates. Apgar Score. Spinal Anesthesia. General Anesthesia.

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