European Journal of Biomedical and Pharmaceutical Sciences

TO COMPARE THE EFFECTS OF GENERAL ANAESTHESIA VERSUS SPINAL ANAESTHESIA ON APGAR SCORE OF NEONATES IN ELECTIVE CAESAREAN SECTION

Dr. Swarnabala Solanki, Dr. Neha Vyas, Dr. Gopal Maravi, Dr. Mayank Chansoria*, Dr. Ruchi Singh

ABSTRACT

Introduction: Obstetric anaesthesia is a demanding but gratifying sub speciality of Anaesthesiology and it requires special skills because two lives are involved. Caesarean section is one of the common operation performed in obstetric practice worldwide. It can be conducted as elective or an emergency. Aim and Objectives: To do a comparative study in 100 female patients of ASA physical status I and II undergoing elective caesarean section by allocating them randomly into two groups using spinal anaesthesia and general anaesthesia. Material and Methods: 100 female patients of ASA physical status I and II aged 20 yrs to 35 years undergoing elective caesarean section were taken. Patients were randomly assigned into two groups. Group 1 - Patients were anaesthetized using spinal AnaesthesiA (n=50) and Group 2- Patients were anaesthetized using general Anaesthesia (n=50). A detailed history, thorough physical examination, routine investigation and any special investigation if required was done for the study. Results and Conclusions: APGAR score of ≥ 7 at 1 min was observed in 64.7 % newborns of group A and in 35.3 % newborns of group B. The difference of APGAR score at 1 min of ≥ 7 was found to be statistically significant (p <0.04). APGAR score of ≤ 6 at 1 min was observed in 36 % patients of group A and 64 % patients of group B. The difference of APGAR score at 1 min of ≤ 6was found to be statistically significant (p <0.04). APGAR score of ≥ 7 at 5 min was observed in 54 % newborns of group A and in 46 % newborns of group B. The difference of in APGAR score at 5 min of ≥ 7 was found to be statistically significant (p =0.037). APGAR score of ≤ 6 at 5 min was observed in 23.1 % patients of group A and 76.9 % patients of group B . The difference of APGAR score at 5 min of ≤ 6was found to be statistically significant (p =0.037).

Keywords: Anaesthesia, APGAR, Anaesthesiology, Caesarean.