Apgar scores and cord blood gas values on neonates from cesarean with general anesthesia and spinal anesthesia
Introduction: The incidence of cesarean section has increased in most countries in recent years. Anesthetic methods used during cesarean section have some advantages anddisadvantages to both mother and neonate. In this study, for comparison of general and spinalanesthesia we evaluated the short-term...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tabriz University of Medical Sciences
2014-02-01
|
| Series: | Journal of Analytical Research in Clinical Medicine |
| Subjects: | |
| Online Access: | http://journals.tbzmed.ac.ir/JARCM/Manuscript/JARCM-2-11.pdf |
| _version_ | 1818973081408897024 |
|---|---|
| author | sousan rasouli Farnaz Moslemi |
| author_facet | sousan rasouli Farnaz Moslemi |
| author_sort | sousan rasouli |
| collection | DOAJ |
| description | Introduction: The incidence of cesarean section has increased in most countries in recent years. Anesthetic methods used during cesarean section have some advantages anddisadvantages to both mother and neonate. In this study, for comparison of general and spinalanesthesia we evaluated the short-term outcome of neonates born through cesarean section. Methods: Retrospectively, we studied 324 mothers undergoing cesarean section with generalor spinal anesthesia. Data were obtained including maternal age, gravidity, parity, and reason of cesarean section. Maternal systolic and diastolic blood pressure, neonatal Apgar score 1and 5th minutes, the biochemical status and blood gases of arterial samples withdrawn from thecord. Furthermore, we evaluated the relation between the maternal blood pressure changeswith neonatal Apgar score and the sample of cord pH (Power of Hydrogen). Results: Of 324 mothers undergoing cesarean section, 117 subjects (36.1%) had general and217 (63.9%) had spinal anesthesia. There were no statistical significant differences between the two groups regarding the demographic characteristic. The one minute Apgar score groupin the spinal anesthesia group was significantly higher than the general anesthesia group(P = 0.01). But there were no divergence between the two groups in five minute Apgar score.Mean fetal acidity in general anesthesia group was higher than the spinal anesthesia group, buttheir differences were not statistically significant. There were no statistical significantcorrelation between the maternal blood pressure and cord's arterial blood pH or neonatalApgar score. Conclusion: The one minute Apgar score in spinal anesthesia group was better and fetalacidosis was lower than the general anesthesia group, but there was not any significant difference between the two groups regarding systolic and diastolic pressure, and there was nosignificant correlation between the maternal mean blood pressure, Apgar score and pH ofarterial cord samples. Thus, possibility of maternal hypotension and decreased uteroplacentalperfusion should not prevent the use of spinal anesthesia for cesarean section. |
| first_indexed | 2024-12-20T15:18:29Z |
| format | Article |
| id | doaj.art-649c8488d7764b0f9131577d5a026ed9 |
| institution | Directory Open Access Journal |
| issn | 2345-4970 |
| language | English |
| last_indexed | 2024-12-20T15:18:29Z |
| publishDate | 2014-02-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Analytical Research in Clinical Medicine |
| spelling | doaj.art-649c8488d7764b0f9131577d5a026ed92022-12-21T19:36:07ZengTabriz University of Medical SciencesJournal of Analytical Research in Clinical Medicine2345-49702014-02-0121111610.5681/jarcm.2014.002JARCM_1207_20131023130038Apgar scores and cord blood gas values on neonates from cesarean with general anesthesia and spinal anesthesiasousan rasouli0Farnaz Moslemi1Associate Professor, Department of Anesthesiology, School of Medicine, Al-Zahra University Hospital, Tabriz University of MedicalAssociate Professor, Department of Anesthesiology, School of Medicine, Al-Zahra University Hospital, Tabriz University of MedicalIntroduction: The incidence of cesarean section has increased in most countries in recent years. Anesthetic methods used during cesarean section have some advantages anddisadvantages to both mother and neonate. In this study, for comparison of general and spinalanesthesia we evaluated the short-term outcome of neonates born through cesarean section. Methods: Retrospectively, we studied 324 mothers undergoing cesarean section with generalor spinal anesthesia. Data were obtained including maternal age, gravidity, parity, and reason of cesarean section. Maternal systolic and diastolic blood pressure, neonatal Apgar score 1and 5th minutes, the biochemical status and blood gases of arterial samples withdrawn from thecord. Furthermore, we evaluated the relation between the maternal blood pressure changeswith neonatal Apgar score and the sample of cord pH (Power of Hydrogen). Results: Of 324 mothers undergoing cesarean section, 117 subjects (36.1%) had general and217 (63.9%) had spinal anesthesia. There were no statistical significant differences between the two groups regarding the demographic characteristic. The one minute Apgar score groupin the spinal anesthesia group was significantly higher than the general anesthesia group(P = 0.01). But there were no divergence between the two groups in five minute Apgar score.Mean fetal acidity in general anesthesia group was higher than the spinal anesthesia group, buttheir differences were not statistically significant. There were no statistical significantcorrelation between the maternal blood pressure and cord's arterial blood pH or neonatalApgar score. Conclusion: The one minute Apgar score in spinal anesthesia group was better and fetalacidosis was lower than the general anesthesia group, but there was not any significant difference between the two groups regarding systolic and diastolic pressure, and there was nosignificant correlation between the maternal mean blood pressure, Apgar score and pH ofarterial cord samples. Thus, possibility of maternal hypotension and decreased uteroplacentalperfusion should not prevent the use of spinal anesthesia for cesarean section.http://journals.tbzmed.ac.ir/JARCM/Manuscript/JARCM-2-11.pdfGeneral anesthesiaSpinal anesthesiaCesarean sectionApgar scoreCord's arterial blood gas |
| spellingShingle | sousan rasouli Farnaz Moslemi Apgar scores and cord blood gas values on neonates from cesarean with general anesthesia and spinal anesthesia Journal of Analytical Research in Clinical Medicine General anesthesia Spinal anesthesia Cesarean section Apgar score Cord's arterial blood gas |
| title | Apgar scores and cord blood gas values on neonates from cesarean with general anesthesia and spinal anesthesia |
| title_full | Apgar scores and cord blood gas values on neonates from cesarean with general anesthesia and spinal anesthesia |
| title_fullStr | Apgar scores and cord blood gas values on neonates from cesarean with general anesthesia and spinal anesthesia |
| title_full_unstemmed | Apgar scores and cord blood gas values on neonates from cesarean with general anesthesia and spinal anesthesia |
| title_short | Apgar scores and cord blood gas values on neonates from cesarean with general anesthesia and spinal anesthesia |
| title_sort | apgar scores and cord blood gas values on neonates from cesarean with general anesthesia and spinal anesthesia |
| topic | General anesthesia Spinal anesthesia Cesarean section Apgar score Cord's arterial blood gas |
| url | http://journals.tbzmed.ac.ir/JARCM/Manuscript/JARCM-2-11.pdf |
| work_keys_str_mv | AT sousanrasouli apgarscoresandcordbloodgasvaluesonneonatesfromcesareanwithgeneralanesthesiaandspinalanesthesia AT farnazmoslemi apgarscoresandcordbloodgasvaluesonneonatesfromcesareanwithgeneralanesthesiaandspinalanesthesia |