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COMPARISON OF THE EFFECTS OF GENERAL VS SPINAL ANESTHESIA ON NEONATAL OUTCOME

Dr. Misha Habib, Dr. Mishal Seyal, Dr Wajiha Asif

Objectives: To look at the impacts of general and spinal anesthesia in patients experiencing an elective Cesarean segment as far as a neonatal result. Setting: Subjects & Methods: This randomized control trial was conducted at Jinnah Hospital, Lahore (June 2018 to February 2019). Patients in this examination were conceded through obstetric OPD for lower fragment Cesarean segment. Patients were chosen by straightforward irregular wrap draw strategy. Test estimate were 160 patients, they isolated into two equivalent groups. Group A (N=80) patients experienced spinal anesthesia and Group B patients experienced general anesthesia. Following conveyance of the neonate, the umbilical corridor blood test was taken for appraisal of blood pH. Apgar score was evaluated at 01 and 05 minutes and recorded on proforma. Anesthesia was marked as viable I-e acceptable if the Apgar score was 7 or more and blood pH 7.2 or more. Result: An Apgar score >7 was seen at 01 and 05 minutes in 78(97.5%) and 80 (100%) neonates separately in the group sometimes it was 60(75%) and 74 (92.5%) in group B neonates. Apgar score>7 was seen in significantly more neonates in group Aas a contrast with group B (p =0.028). Normal Apgar score at 01 and 05 minutes was moreover significantly higher in group A than group B; (8.04±0.82) versus (7.10±0.92) (p=0.0001) and (9.89±0.32) versus (9.34±1.07) separately (p=0.0001). Umbilical supply route blood pH>7.2 was watched significantly high in group A93.8% as analyzed to bunch B 83.8% (p=0.045). Additionally, normal pH was significantly high in group A than group B for example (7.38±0.15) versus (7.21±0.16) (p=0.017). Conclusion: Spinal anesthesia is related to the better neonatal outcome when contrasted with general anesthesia in elective Cesarean segments. Keywords: Cesarean Section, Apgar, Anesthesia, Spinal, pH, Bupivacaine, Neonates, Blood and Cesarean.

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