Comparison of Neonatal Apgar Score & Umbilical Artery Blood Gas Parameters Among parturients Undergoing Elective Caesarean Section Under Spinal, Epidural & General Anaesthesia: A Prospective Randomized Observational Study-Juniper Publishers
Juniper Publishers - Journal of Anesthesia Abstract Introduction: Frequency of lower segment caesarean section (LSCS) is increasing today. All anaesthetic techniques used for LSCS may have certain advantages & disadvantages that affect short and long term neonatal outcome. This study aimed to compare effect of spinal, epidural and general anaesthesia on neonatal outcome in terms of Apgar score and umbilical arterial (UA) blood gas parameters. Method: Total 90 parturients belonging to age group of 20-30 yrs of ASA grade I and II who were scheduled to undergo elective LSCS were randomly allocated by chit method into three groups (n=30). Group SA received spinal anaesthesia, Group EA received epidural anaesthesia and Group GA received general anaesthesia. Duration between induction to skin incision (I-SI), skin incision to delivery (SI-D) and uterine incision to delivery (UI-D) were noted. Intraoperative vitals like HR, SBP, DBP, RR, SPO2 and ETCO2 at various tim...