Comparison of neonatal effects of epidural and general anesthesia for cesarean section
GYNECOLOGIC AND OBSTETRIC INVESTIGATION, cilt.55, sa.1, ss.41-45, 2003 (SCI-Expanded, Scopus)
- 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.