Effects of types of Anesthesthesia on Neurobehavioral Response and Apgar score in Neonates Delivered with Cesarean Section at CMCH Bhopal
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 4
Abstract
Context: As the Frequency of cesarean section birth continuous to steadily rises worldwide the type of anaesthesia provided has gained importance. Though the anaesthesia has become very safe over the years some studies showed adverse Neonatal outcome in the babies delivered by cesarean section under general anaesthesia however this outlook needs to be further studied hence we aimed to compare the effect of general anaesthesia and spinal anaesthesia on foetal outcome delivered by cesarean section by monitoring APGAR & NACS scores. Aims: Settings and Design: Prospective Randomized Controlled clinical trail in tertiary level institute. Methods and Material: Our study was conducted in 100 patients with elective indications patients was randomly divided into general anaesthesia (in 50 patients) and spinal anaesthesia (50 patients). The APGAR score and neonatal neurological adaptive capacity score (NACS) were noted and the results were compared with the groups. The maternal age, height, weight, time taken for delivery of baby after induction & NICU admission were also noted and compared with groups. Statistical Analysis Used: Mean and standard deviation, unpaired t test. Results: There was no significant difference in spinal versus general anaesthesia group regarding age (26.34±3.61 vs 26.26±3.43), weight (75.36±6.33 vs 71.03±8.20) and height (5.21±0.16 vs 5.18±0.14) time taken for delivery of baby was statistically insignificant in both the groups percentage of NICU admission in the babies delivered under general anaesthesia group was high (28%) as compare to babies delivered under spinal anaesthesia group (10%) babies born to mothers underwent spinal anaesthesia had significantly better APGAR score after delivery (7.18±1.00 vs 6.1±0.70 P<0.001, 1 minute (8.30±1.00 vs6.82±0.89 P<0.001) and 5 minute (8.56±1.07 vs 7.54±0.76 P< 0.001) APGAR score. Neonate Neurological adaptive capacity score (NACS) at 15 minutes and 2 hours were better in spinal anaesthesia group compare to general anaesthesia group. Conclusions: NACS score and APGAR score were better preserved in neonates born to mother under spinal anaesthesia for elective cesarean section so this could be a base to recommend the spinal anaesthesia as a standard anaesthesia technique for cesarean section, though should be further evaluated.
Authors and Affiliations
Chavan Gajanan N
Keywords
Related Articles
- EP ID EP472281
- DOI 10.21088/ijaa.2349.8471.4417.6
- Views 85
- Downloads 0
Foreign Body Bronchus Removed by Tracheotomy
A 3 year old male child, with 13 kg body weight, referred from a peripheral hospital with suspected foreign body (FB) bronchus. Chest radiograph from that hospital showed absentairo-gram below right bronchus and hyper-in...
Clonidine or Tramadol Added to Bupivacaine for Prolonging Post Operative Caudal Epidural Analgesia in Children
Caudal epidural analgesia is most popular and commonly performed regional blocks in paediatric anaesthesia.To prolongpost operative analgesia local anesthetics have to be combined with adjuvants. Adjuvants like narcotics...
Comparison of Ropivacaine 0.2% Versus Bupivacaine 0.125% in Ultrasound Guided Continuous Interscalene Analgesia for Shoulder and Upper Arm Surgeries: A Randomized Prospective Study
Background and Aims: Shoulder surgery is associated with significant postoperative pain. A continuous interscalene brachial plexus block provides an excellent postoperative analgesic modality for early rehabilitation and...
Comparison between Effects of 0.5% Bupivaciane with Dexmedetomidine and 0.5% Bupivaciane Alone in Brachial Plexus Block
Background: Brachial plexus block is a popular and widely employed regional nerve block of upper extremity which avoids the unwanted effect of anesthetic drugs. It has been proved in numerous studies that dexmedetomidine...
A Prospective Observational Analytical Study to Evaluate the Variability of Skin Epidural Depth at Various Lumbar Spinal Levels Using Ultrasound
Background: Epidural placement in lumbar spine is used to provide anaesthesia for surgeries below umbilicus. However the success depends on correct identification of epidural space taking into consideration anatomic vari...