A Comparative Study on the Effects of Spinal Versus GeneralAnesthesia on Apgar Score of the Neonates Among Patients EnduringElective Caesarean Section
Abstract
Objective: This study investigates the impact of anesthesia choices on maternal and neonatal outcomes during elective cesarean sections, comparing spinal anesthesia with general anesthesia.Methods
Conducted over a year at the Department of Gynecology, Divisional Women's University of Dera Ismail Khan, the study involved 100 ASA-I patients scheduled for elective cesarean sections. Patients were divided into two groups: Group A (spinal anesthesia, n = 55) and Group B (general anesthesia, n = 45). Comprehensive monitoring and statistical analyses, utilizing SPSS version 22.0, were employed to assess maternal and neonatal outcomes, including Apgar scores at 1 and 5 minutes.Results
While both groups had similar mean ages, Group A had a slightly higher mean weight. Analysis revealed no statistically significant difference in Apgar scores at 1 minute, but at 5 minutes, Group B showed significantly higher Apgar scores (P = 0.001) and lower pH levels (P = 0.016). Group A exhibited a higher percentage of infants in satisfactory condition (96.7%) compared to Group B (86.7%) at 5 minutes.Conclusion
The study underscores the advantages of spinal anesthesia, presenting better Apgar scores at 1 minute and a higher percentage of infants in satisfactory condition at 5 minutes. These findings support the strategic use of spinal anesthesia in elective cesarean sections, emphasizing improved neonatal outcomes and maternal satisfaction. However, limitations such as sample size and exclusion of emergency cases warrant caution in generalizing the results.Keywords:
Anesthesia, Cesarean section, Spinal anesthesia, General anesthesia, Apgar score, Maternal outcomes, Neonatal outcomes, Elective cesarean section.Published
2025/03/10
Issue
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