Effect of Anesthesia Methods During Elective Cesareans on Neonates: Ordu Province Example

Authors : Emine YURDAKUL ERTÜRK, Ahmet GÜLTEKİN, Yeliz KAŞKO ARICI

Pages : 81-87

Doi:10.19127/mbsjohs.878391

View : 19 | Download : 6

Publication Date : 2021-04-30

Article Type : Research Paper

Abstract :Objective: To research the short-term effects on neonates of different anesthesia methods administered for elective cesareans. Methods: Data obtained from files and electronic medical records of 157 singleton cesarean cases and neonates from January 2018 to December 2019 were retrospectively analyzed and 6 cases were excluded from the study. A total of 151 cases were divided into general anesthesia-propofol insert ignore into journalissuearticles values(n=30);, spinal insert ignore into journalissuearticles values(n=100); and general anesthesia-pentothal insert ignore into journalissuearticles values(n=21); groups. Results: A total of 151 cesarean cases that meet the inclusion criteria in the date interval of the study were assessed. Of cases, 100 insert ignore into journalissuearticles values(66%); were in the spinal anesthesia group, 30 insert ignore into journalissuearticles values(20%); were in the general anesthesia-propofol group and 21 insert ignore into journalissuearticles values(14%); were in the general anesthesia-pentothal group. There was no significant difference between the study groups in terms of demographic data. The umbilical cord pCO2 value was significantly low in the spinal anesthesia group insert ignore into journalissuearticles values(43.60±5.52); compared to the general-pentothal group insert ignore into journalissuearticles values(47.38±5.71);. The umbilical cord HCO3 value was lower in the spinal anesthesia group insert ignore into journalissuearticles values(22.69±1.62); compared to the general-pentothal insert ignore into journalissuearticles values(23.48±1.53); and general-propofol groups insert ignore into journalissuearticles values(23.49±1.83);. There was a significant variation in postnatal treatment types according to anesthesia method insert ignore into journalissuearticles values(p=0.012);. The rate not requiring treatment was lowest in the general-propofol group insert ignore into journalissuearticles values(46.7%);, while the rate of balloon-valve mask use insert ignore into journalissuearticles values(46.7%); was highest compared to the other groups. In terms of 5th minute Apgar scores, there was a significant difference between the groups insert ignore into journalissuearticles values(p=0.024);. Patients in the general-propofol group had significantly lower 5th minute Apgar scores compared to patients in the spinal group. Conclusion: The balloon-valve mask rate was highest for those with propofol general anesthesia. Additionally, it was identified that neonates in both general anesthesia groups had higher neonatal intensive care unit requirements compared to the spinal anesthesia group.
Keywords : Cesarean section, neonatal outcome, pentothal, propofol, spinal anesthesia