Effect of spinal and general anaesthesia over APGAR score in neonates born after elective cesarean section

Objective: to compare the effects of general anaesthesia and spinal anaesthesia on apgar scores in neonates born to full term elective cesarean sections. design: randomized prospective study. place and duration of study: the study was carried out at abbasi shaheed hospital from march 2009 to july 2009. material and methods: the study was performed on 60 healthy full term patients lying in american society of anaesthesiologist-1 category presenting for elective lower segment cesarean section. thirty patients were given general anaesthesia and other 30 patients received spinal anaesthesia. the apgar scores were recorded at 1 minute and 5 minutes interval after each delivery. results: patients undergoing general anesthesia,who had short time interval between inducation of anaesthesia and delivery,gave to neonates having apgar score >7 at 5 minites interval and there was less difference in the effects of general and spinal anaesthesia on the apgar score of such neonates. conclusion: there was no significant difference between the effects of general anaesthesia and spinal anaesthesia on apgar score of neonates at 5 minutes interval after birth,born after full term elective cesarean section.