Effects of General Versus Spinal Anesthesia over Apgar Score of Newborns Delivered by Cesarean Sections and Factors Associated with Apgar Score from January to March 2016 at Gandhi Memorial Hospital, Addis Ababa
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Date
2016-06
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Addis Abeba University
Abstract
Introduction: The Apgar score is a practical method of systemically assessing newborn baby
immediately after birth to identify those requiring resuscitation and to predict survival in
neonatal period. In spite of the growing number of newborns that are delivered via Cesarean
section, the decrease in Apgar score of babies delivered under cesarean has become one of the
concerning issues.
Objective: To assess the effects of general versus spinal anesthesia over Apgar score of
newborns delivered by cesarean sections and factors associated with Apgar score from January to
March 2016 at Gandhi Memorial Hospital, Addis Ababa.
Method: Institutional based comparative cross sectional study design was conducted. Systematic
random sampling technique was used to select study participants. Training was given for data
collectors and supervisors. Regular supervision and follow up was made. Data was entered into
Epi info version 7 computer software by investigators and was transported to SPSS version 20
computer program for analysis. Bivariate and multivariate analysis was used to identify factors
associated with Apgar score.
Result: A total of 86 study subjects were included. Majority of baby had low Apgar score at one
minute and high Apgar score at five minute. Out of 43 mothers, who received spinal anesthesia,
15 patients (34.88%) gave birth to neonates having Apgar score >7 at one minute. On the other
hand, out of 43 mothers who received general anesthesia, 7(16.3%) mothers gave birth to
neonate having Apgar score ≥7 at one minute. It had been found that those neonates who were
born under general anesthesia were three folds more likely to have low Apgar score than those
who born under spinal anesthesia (AOR 2.768 (95% CI ((.876-8.745).
Conclusion and recommendation: There was relatively a low Apgar score among newborn
babies delivered under general anesthesia. Therefore, the use of spinal anesthesia was
recommended.
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Gandhi Memorial Hospital