Key result
General anesthesia for cesarean section is linked to lower early neonatal neurologic scores vs regional anesthesia.
Why the study?
The effects of general versus regional anesthesia for elective cesarean section on neonatal neurologic and adaptive capacity scores were not well characterized.
Does general anesthesia compared to regional anesthesia affect neonatal neurologic and adaptive capacity scores in elective cesarean section?
Comparison
General anesthesia vs epidural anesthesia vs spinal anesthesia
Design
Cohort study
Follow-up
24 hours
Authors
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May favor regional over general anesthesia to minimize early neonatal effects in elective cesarean; leaves open long-term relevance and randomized confirmation.
Cohort (n=52)
Does general anesthesia compared to regional anesthesia affect neonatal neurologic and adaptive capacity scores in elective cesarean section?
p-value: p=<0.05
General anesthesia for elective cesarean section transiently depresses neonatal neurologic and adaptive capacity scores up to 2 hours of age compared to regional anesthesia, but these effects resolve by 24 hours.
Abboud et al. (1985) conducted a cohort in Elective cesarean section (n=52). General anesthesia vs. Regional anesthesia (epidural or spinal) was evaluated on Neonatal Neurologic and Adaptive Capacity Scores (p=<0.05). General anesthesia for cesarean section resulted in significantly lower neonatal neurologic and adaptive capacity scores at 15 minutes and 2 hours compared to regional anesthesia (P<0.05).
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