alexa Neonatal effect of prolonged anesthetic induction for cesarean section.


Journal of Anesthesia & Clinical Research

Author(s): Datta S, Ostheimer GW, Weiss JB, Brown WU Jr, Alper MH

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Abstract The relationship of induction-to-delivery and uterine incision-to-delivery intervals to neonatal outcome was studied in 105 parturient women undergoing cesarean section. Sixty patients received general anesthesia and 55 were given spinal anesthesia. During general anesthesia, induction-to-delivery intervals of more than 8 minutes and uterine incision-to-delivery intervals of more than 3 minutes were associated with significantly more instances of neonatal acidosis (umbilical artery pH 7.31 versus 7.22) and a greater incidence of low 1-min Apgar scores (4\% versus 73\%). In the groups receiving spinal anesthesia, prolongation of uterine incision-to-delivery interval by more than 3 minutes was found to be the only important factor influencing fetal outcome, as determined by an increased acidosis (umbilical artery pH 7.30 versus 7.18) and by depressed Apgar scores (0\% versus 62\%).
This article was published in Obstet Gynecol and referenced in Journal of Anesthesia & Clinical Research

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