COMPARISON BETWEEN EFFECT OF GENERAL AND SPINAL ANESTHESIA ON APGAR SCORES IN THE NEONATES DELIVERED BY ELECTIVES CESAREAN SECTIONS

Abstract

Delivering of the pregnant woman by the caesarean section, become increasingly common, caesarean section deliveries account for (25 to 30) % (range 1.8-40.5 %) of deliveries nationally and internationally, despite that most patients undergoing cesarean section included healthy and young; who represent a more risk groups of patients. Selection of an appropriate anesthesia (either general anesthesia or regional which include spinal or epidural) for cesarean section has studied for a longtime and depend on several factors.
This, study was conducted to comparing effect of both spinal and general anesthesia on the newborn fetus by caesarean section through monitoring of Apgar score of the newborn.
A prospective randomized study, 60 pregnant women (36-40 weeks gestational age) planned for elective caesarean section were divided into two group as ( A&B) groups, (group A 30 cases) receiving general anesthesia, (group B 30 cases) receiving spinal anesthesia, after the delivery of fetus Apgar score was recorded at 1st, 5th and 10th minute, with proper resuscitation was done if needed.
Apgar score was statistically higher scores at 1st, 5th minutes in general anesthesia compared to spinal anesthesia. Neonatal Apgar score of whose mother receiving spinal anesthesia was better than neonate, who mother receiving general anesthesia