Comparison of the Effects of General and Regional Anesthesia for Cesarean Section on Neonatal Neurologic and Adaptive Capacity Scores

Abstract

YANAGI T, SHEIKH-OL-ESLAM A. Comparison of the effects of general and regional anesthesia for cesarean iiiitil d e l i z~r y of the baby. All ~iiotlzers were henlthy, not iiz /nbor, nrfd zoere sc/iedct/ed for e k t i v e cesarean section. All iicoiintcs iL'CigheCI 2500 g or more, had Apgar scores of 7 or more at 2 aiid 5 iiiiri, aiid had tzormal acid base and blood sas dntn. Netiiiafes delizwed with gmeraf anesthesia scored sipificaiitly lozcler oil some of the test items for adaptive section on neonatal neurologic and adaptive capacity scores. Anesth Analg 1985;63:996-1000. cnpacity, pflssiizle t o m , active tone, primary reflexes, and iotni scores nf t l o f h 75 rnirr and 2 hr of age (P < 0.051 fharz thosc dcliz~cred zoith either epidural or spinal anesthesia. Nroriizte.; rfelizvred with epidural anesthesia scored lower fhnii thow dclizwed with spinal aizesthesia on supporting reactioii urid motor activity nt 2 hr of age (P < 0.05). All iieoiintes hnd high scores at 24 hr, at which time there were i i o sipificaiit differewes betuleen the three groups.Fiftytwo iieoriates deliz~cred hy electi7~ cesnrenif sectioii i('c'rf' ezdunfed irsitig the Neoiiatnl Neurologic aiid Adaptizle Cnpacity Scores. Tzueiity of the rriothers receizlrd ~qerierol nr7csthcsia, 14 received epidural, a i d 18 rcceizled spiiinl oiicsthesin. All mothers rcccizliizg regioiznl arzesthesin ~L W C ~~ri~hydrated with 1000 1111 of hetoted Riii<yer's solfitioii mid werc gizleii oxygen via a trnizspnrerit fnce ninsk. All riiothcrs iiizderyoiizy general aiiesthesin recrirvd thioyeiital for i i iductio-iz fojlo&i l7y N20-OZ (4 L : 4 L) orid 0:5cir erifliiraiie