Rumina Tabassum, Saleem Sabbar, Fawad Ahmed Khan, Jan Muhammad Shaikh.
Comparison of the eff ects of general and spinal anaesthesia on APGAR score of the neonates in patients undergoing elective caesarean section.
Pak J Surg Jan ;26(1):46-9.

Objective: Th e aim of the study was to compare the eff ects of general and spinal anaesthesia on APGAR score of the neonates in patients undergoing elective caesarean section. Study design: Randomized control trial Place and duration of surgery: Th is study was conducted in Anaesthesia Department of Lyari General Hospital Karachi over a period of 3 months from January 2009 to March 2009. Patients and methods: In this study 100 patients, who were on operation theatre list for caesarean section, were divided into two groups. Group I (n=50) received spinal anaesthesia and group II (n=50) received general anaesthesia. Th ere were no signifi - cant diff erences in age, height and weight of the patients. Data from the patients was recorded on a proforma. Th e comparison was made between groups I and group II. Aft er delivery of the neonate the APGAR was assessed at 1 and 5 minutes and was documented on proforma. Result: In group I, the average age of the patients was 29.15±5.62 while in group II the average age was 28.72±5.62; the mean diff erence was not statistically signifi cant between groups (P=0.67). Mean weight of the patients in group I was 70.64±10.16 kg and 72.46±12.62 kg in group II. At 1 and 5 minutes intervals, APGAR score was found higher in neonates of women who received spinal anaesthesia than those women who received general anaesthesia (P<0.001). Th e higher percentage of patients in group I showed quite improved APGAR score as compared to patients in group II. Conclusion: Neonates of women showed improved APGAR score who had caesarean section in spinal anaesthesia than in general anaesthesia.

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