Neonatal Effect of Prolonged Anesthetic Induction for Cesarean Section
作者:
SANJAY DATTA,
GERARD OSTHEIMER,
JESS WEISS,
WALTER BROWN,
MILTON ALPER,
期刊:
Obstetrics & Gynecology
(OVID Available online 1981)
卷期:
Volume 58,
issue 3
页码: 331-335
ISSN:0029-7844
年代: 1981
出版商: OVID
数据来源: OVID
摘要:
The relationship of induction-to-delivery and uterine incision- to-delivery intervals to neonatal outcome was studied in 105 parturient women undergoing cesarean section. Sixty patients received general anesthesia and 55 were given spinal anesthesia. During general anesthesia, induction- to-delivery intervals of more than 8 minutes and uterine incision-to-delivery intervals of more than 3 minutes were associated with significantly more instances of neonatal acidosis (umbilical artery pH 7.31 versus 7.22) and greater incidence of low 1-minute Apgar scores (4% versus 73%). In the groups receiving spinal anesthesia, prolongation of uterine incision-to-delivery interval by more than 3 minutes was found to be the only important factor influencing fetal outcome, as determined by an increased acidosis (umbilical artery pH 7.30 versus 7.18) and by depressed Apgar scores (0% versus 62%).
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