COMPARISON OF APGAR SCORE IN NEONATES: SPINAL VERSUS GENARAL ANAESTHESIA FOR ELECTIVE CAESAREAN SECTION.
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 3
Abstract
[b]BACKGROUND[/b]: 10 point Apgar score has been used to assess the condition and prognosis of newborn infants throughout the world. Objective of the study is to compare the effects of general and spinal anesthesia on Apgar score in newborns of pregnant women undergoing elective caesarean section. [b]STUDY DESIGN[/b]: Retrospective observational study. [b]SETTING:[/b] This study was conducted in the department of pediatrics between December 2012 to June 2013. [b]SUBJECTS [/b] [b]AND METHODS[/b]: Recorded Apgar scores of 90 neonates were retrospectively studied after obtaining data from medical records department. Mothers of neonate in Group R (N: 60) underwent caesarean section by spinal anesthesia and mothers of neonates in Group G (N: 30) by general anesthesia. Apgar score ≥ 7 was considered as Satisfactory to the newborns. [b]ANALYSIS:[/b] The data collected was analyzed through statistical package SPSS version 10.0. Descriptive statistics were used to describe the data; independent samples’t-test was used to compare quantitative variables. Qualitative variables were compared through chi-square test. P value < 0.05 was taken as statistically significant. [b]RESULTS: [/b]Apgar score measured at 1 and 5 min, after delivery was ≥ 7 in 58 (96.66%) and 60 (100%) neonates in group R, while it was 22 (73.33%) and 28 (93.33%) neonates in group G for regional and general anesthesia respectively. Apgar score>7 was observed in significantly more neonates in group R as compare to group G (p <0.05). mean ±SD values of Apgar score at 01 and 5 minutes was also significantly higher in group R than group G [8.44±0.51 vs. 6.90±0.71 at 01 min and 9.71±0.25 vs. 9.04±0.77 at 5 min](p<0.001). [b]CONCLUSION: [/b]Apgar scores were better preserved in neonates born to mother under spinal anesthesia for lower segment elective Cesarean sections.
Authors and Affiliations
Sahana K. S
Keywords
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- EP ID EP95522
- DOI 10.14260/jemds/2014/1862
- Views 96
- Downloads 0
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