Korean J Anesthesiol.  1995 Nov;29(5):680-683. 10.4097/kjae.1995.29.5.680.

The Effects of General and Epidural Anesthesia for Cesarean Section on Newborn Apgar Scores

• Hwang SE
• Park SH
• Yeom JH

• KMID: 2299229
• DOI: http://doi.org/10.4097/kjae.1995.29.5.680

Abstract

This study was undertaken to evaluate the effects of general and epidural anesthesia for cesarean section on newborn Apgar scores prospectively. Forty patutients for elective cesarean section were divided into two groups. One group(I) of parturients was anesthetized with general anesthesia. The other group(II) was anesthetized with epidural anesthesia. Then, Apgar scores of group I were compared with that of group II. The results were as follows: 1) For elective cesarean section under general anesthesia, prolongation of induction-delivery time wasnt related to lowering of Apgar scores because all of that intervals were below 10 minutes. 2) For elective cesarean section under epidural anesthesia, there was no more neonatal depression accompanied by prolongation of local anesthetic injection-delivery time. 3) General anesthesia rather than epidural anesthesia had a low Apgar score. Therefore, we wish to recommand epidural rather than general anesthesia when prolongation of induction-delivery time such as repeat-cesarean section and/or lowering of Apgar score such as premature will be expected.

Keyword

General anesthesia; Epidural anesthesia; Apgar score

MeSH Terms

Anesthesia, Epidural*
Anesthesia, General
Apgar Score
Cesarean Section*
Depression
Female
Humans
Infant, Newborn*
Pregnancy
Prospective Studies