Aftab Imtiaz, Sultan Mustafa, Masroorudin, Noor Ul Haq, Syed Hamid Ali, Khalid Imtiaz.
Effect of spinal and general anaesthesia over APGAR score in neonates born after elective cesarean section.
J Liaquat Uni Med Health Sci Jan ;9(3):151-4.

OBJECTIVE: To compare the effects of general anaesthesia and spinal anaesthesia on APGAR SCORES in neonates born to full term elective cesarean sections. DESIGN: Randomized prospective study. PLACE AND DURATION OF STUDY: The study was carried out at Abbasi Shaheed Hospital from March 2009 to July 2009. MATERIAL AND METHODS: The study was performed on 60 healthy full term patients lying in American Society of Anaesthesiologist¨C1 category presenting for elective lower segment cesarean section. Thirty patients were given general anaesthesia and other 30 patients received spinal anaesthesia. The Apgar scores were recorded at 1 minute and 5 minutes interval after each delivery. RESULTS: Patients undergoing general anesthesia, who had short time interval between induction of anaesthesia and delivery, gave birth to neonates having Apgar Score 7 at 5 minutes interval and there was less difference in the effects of general and spinal anaesthesia on the Apgar Score of such neonates. CONCLUSION: There was no significant difference between the effects of general anaesthesia and spinal anaesthesia on Apgar score of neonates at 5 minutes interval after birth, born after full term elective cesarean section.

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