Anesthesia for cesarean section: Further studies

Fox, Gordon S.; Smith, Jessica; Namba, Y.; Johnson, Robert C.

doi:10.1016/0002-9378(79)90404-6

Cited by 35 publications

(5 citation statements)

References 23 publications

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“…Controversy exists with regard to the cord blood acid-base status between infants born by cesarean section under epidural anesthesia versus general anesthesia(22)(23)(24)(25)(26). Recently, Shyken and colleagues(22) reported that infants delivered by cesarean section under epidural anesthesia in the active phase of labor had significantly lower arterial and venous Po2 values than those delivered under gen-…”

mentioning

confidence: 99%

The effect of labor on the normal values of umbilical blood acid‐base status

Yoon

Kim

1994

Acta Obstet Gynecol Scand

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confidence: 99%

The effect of labor on the normal values of umbilical blood acid‐base status

Yoon

Kim

1994

Acta Obstet Gynecol Scand

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“…Comparisons of the condition of neonates delivered by elective Caesarean section under regional or general anaesthesia have demonstrated better clinical outcomes with regional techniques (Downing, Houlton and Barclay, 1979;Fox et al, 1979;Datta et al, 1981;Crawford and Davies, 1982). In a series of 105 elective Caesarean sections in gravidae without placental dysfunction, Apgar-minus-colour scores were lower and times-to-sustained respiration longer in the 42 infants born under general anaesthesia than in the 57 babies born under extradural block (Crawford and Davies, 1982).…”

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confidence: 99%

Fetal-Neonatal Status Following Caesarean Section for Fetal Distress

Marx

Luykx

Cohen

1984

British Journal of Anaesthesia

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Fetal biochemical and neonatal clinical data were compiled in 126 emergency Caesarean sections performed for fetal distress. The choice of anaesthetic technique was determined by the wishes of the mother. General anaesthesia was administered to 71 parturients and regional analgesia to 55 (subarachnoid block 33, extension of extradural block 22). The aetiologies of fetal distress and the skin incision-delivery and uterine incision-delivery intervals were not significantly different between the two anaesthesia groups. Umbilical artery blood pH values were higher than the last scalp capillary blood pH values in 63% of the general anaesthesia and in 80% of the regional analgesia cases. Umbilical vein and artery blood-gas and pH data were similar in the two anaesthesia groups, but 1-min Apgar scores were significantly better following regional analgesia. Despite the presence of fetal distress, subarachnoid blockade was a most suitable method of anaesthesia in experienced hands.

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“…15,16 ). On the other hand, there are some studies showing no difference in neonatal outcome between the two groups 17,18 . Most studies that report no difference are those done on women who had elective operations 19 while those done on emergencies tend to report a positive difference in neonatal outcome with RA compared with GA (ref.…”

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confidence: 95%

The influence of mode of anaesthesia for caesarean delivery on neonatal Apgar scores in the Czech Republic and Slovakia: secondary analysis of the results of an international survey in 2015

Harazim¹,

Štourač²,

Bláha³

et al. 2019

BIOMED PAP

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OBAAMA-INT Study Group Aims. The purpose of this international survey was to describe the impact of current practices and techniques of caesarean section on the neonatal Apgar score in the Czech Republic (CZE) and Slovakia (SVK). Methods. All Czech and Slovak departments that provide obstetric anaesthesia were invited to participate in a onemonth (November 2015) prospective study that monitored in details all peripartum anaesthetic practices, delivered by anaesthesiologists. Participating centers recorded all data on-line in the CLADE-IS database (Masaryk University, CZE). Results and Discussions. We collected data of 10119 women who delivered 10226 newborns. A caesarean section was recorded in 25.1% of deliveries (CZE 23.2%; SVK 30%). General anaesthesia was used for caesarean section in 37.5% of the cases (CZE 40%, SVK 33%). There was no statistically significant difference in the Apgar score lower than 7 in the 1, 5 or 10 min in groups of general and regional anaesthesia for caesarean section, when only elective sections of in-term babies with birth weight over 2500 g were analyzed. We found no statistically significant differences in the Apgar score in newborns of women intubated for caesarean section in rocuronium (n=21; 2.2%) and suxamethonium (n=889; 93%). Conclusion. We found no difference in neonatal outcomes in groups of general and regional anaesthesia for caesarean section when only out-of-risk newborns were analyzed. The risk factors were identified as follows: an acute caesarean section, preterm babies, birth weight less than 2 500 g, born in perinatological center and multiple pregnancy-second baby. Trial Registration: ClinicalTrials.

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Anesthesia for cesarean section: Further studies

Cited by 35 publications

References 23 publications

The effect of labor on the normal values of umbilical blood acid‐base status

The effect of labor on the normal values of umbilical blood acid‐base status

Fetal-Neonatal Status Following Caesarean Section for Fetal Distress

The influence of mode of anaesthesia for caesarean delivery on neonatal Apgar scores in the Czech Republic and Slovakia: secondary analysis of the results of an international survey in 2015

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