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[Comparative studies on general anesthesia versus peridural anesthesia in primary cesarean section].
Regional-Anaesthesie
|January 1, 1984
Summary
General anesthesia for cesarean sections led to higher maternal ACTH and cortisol levels and lower 1-minute Apgar scores in neonates compared to epidural anesthesia. However, long-term infant outcomes were similar between groups.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Neonatal Medicine
Background:
- Cesarean sections are common surgical procedures.
- Anesthesia choice impacts maternal and neonatal well-being.
- General anesthesia and epidural anesthesia are common methods for cesarean delivery.
Purpose of the Study:
- To compare the effects of general anesthesia versus epidural anesthesia on mothers and neonates during planned cesarean sections.
- To evaluate maternal physiological responses and neonatal outcomes under different anesthesia types.
Main Methods:
- Prospective study of 47 planned cesarean sections.
- Monitoring of maternal blood pressure, pulse, blood gases, acid-base status, blood sugar, lactate, beta-hydroxybutyric acid, ACTH, and cortisol.
- Assessment of cord blood parameters and neonatal Apgar scores and neurostatus.
Main Results:
- General anesthesia group showed higher maternal ACTH and cortisol levels and higher PO2. Epidural group experienced more blood pressure falls.
- Neonates under general anesthesia had lower 1-minute Apgar scores due to longer induction-delivery times.
- No significant differences were observed in 5 and 10-minute Apgar scores or long-term neurodevelopment between groups.
Conclusions:
- While general anesthesia for cesarean delivery can transiently affect maternal hormones and immediate neonatal Apgar scores, it does not appear to cause long-term adverse effects on infant neurodevelopment compared to epidural anesthesia.