Comparison of neonatal effects of epidural and general anesthesia for cesarean section

Sener E., Guldogus N., Karakaya D., Baris S., Kocamanoglu S., Tur A.

GYNECOLOGIC AND OBSTETRIC INVESTIGATION, cilt.55, sa.1, ss.41-45, 2003 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 55 Sayı: 1
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1159/000068956
  • Dergi Adı: GYNECOLOGIC AND OBSTETRIC INVESTIGATION
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.41-45
  • Anahtar Kelimeler: cesarean section, epidural anesthesia, general anesthesia, newborn, DELIVERY
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

We assessed the influence of anesthetic technique for cesarean section on neonatal outcome. Thirty parturient women (ASA I/II) were randomly allocated into two groups. In Group GA general anesthesia was induced with 4 mg.kg(-1)thiopental and 1.5 mg(.)kg(-1) succinylcholine. In group EA epidural anesthesia was performed with 20 ml 0.375% bupivacaine through L3-4 inter-space. 1-min Apgar scores were significantly higher in group EA (p < 0.001). Neurologic and Adaptive Capacity scores at 2 and 24 h were higher in group EA (p < 0.001). In terms of blood gas values, umbilical arterial pH and pO(2) values were higher in group EA (p < 0.05 and p < 0.001, respectively). The first breast-feeding intervals were found to be shorter in group EA (p < 0.001). We conclude that in terms of better Apgar and NAC scores, acid-base status and earlier initiation of breast-feeding, the epidural anesthesia may be preferred to general anesthesia in cesarean section. Copyright (C) 2003 S. Karger AG, Basel.