Document Detail


Neonatal wellbeing after elective caesarean delivery with general, spinal, and epidural anaesthesia.
MedLine Citation:
PMID:  8495679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A comparison was made of the acid-base and Apgar status of neonates following general (n = 34), spinal (n = 28) and epidural (n = 23) anaesthesia for elective caesarean section. Neonates delivered following spinal anaesthesia were more acidaemic (pH = 7.249) (P < 0.05) than those delivered following epidural (pH = 7.291) or general anaesthesia (pH = 7.296) despite measures taken to minimize hypotension. The percentage of neonates with a 1 min Apgar score > or = 7 was 96% after epidural anaesthesia, 93% after spinal anaesthesia and 75% after general anaesthesia. The difference between epidural and general anaesthesia was significant (P < 0.05). Using these two measures of neonatal wellbeing, epidural anaesthesia provided the most favourable outcome.
Authors:
F M Ratcliffe; J M Evans
Related Documents :
6731519 - Maternal, fetal, and neonatal lidocaine levels following local perineal infiltration.
15078379 - Neuromuscular recovery following rocuronium bromide single dose in infants.
10447909 - Anaesthetic management of an infant with anterior mediastinal mass.
3849579 - Anesthesia, analgesia for vaginal childbirth. differences in maternal perceptions.
20084599 - Serum beta-endorphin response to stress before and after operation under fentanyl anest...
2718709 - The effect of lumbar epidural analgesia on the neurobehavioural responses of newborn in...
16682519 - Severe hemolytic disease of the newborn in a group b african-american infant delivered ...
4051409 - Differentiating upper from lower airway compromise in neonates.
17136459 - The effect of health compromising behaviors on preterm births.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of anaesthesiology     Volume:  10     ISSN:  0265-0215     ISO Abbreviation:  Eur J Anaesthesiol     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-06-21     Completed Date:  1993-06-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8411711     Medline TA:  Eur J Anaesthesiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  175-81     Citation Subset:  IM    
Affiliation:
Nuffield Department of Anaesthetics, John Radcliffe Hospital, Headington, Oxford, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acid-Base Equilibrium / physiology*
Acidosis / blood
Adult
Anesthesia, Epidural* / methods
Anesthesia, General* / methods
Anesthesia, Obstetrical* / methods
Anesthesia, Spinal* / methods
Apgar Score*
Blood Pressure / physiology
Carbon Dioxide / blood
Cesarean Section*
Female
Fetal Blood / chemistry
Humans
Hydrogen-Ion Concentration
Hypotension / prevention & control
Infant, Newborn / physiology*
Oxygen / blood
Pregnancy
Prospective Studies
Umbilical Arteries
Umbilical Veins
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Measurement of vibratory perception threshold (VPT) in workers exposed to organic solvents.
Next Document:  Epidural analgesia for labour using a continuous infusion of bupivacaine and alfentanil.