الفهرس 
Maternal Physiological ConsiderationOnly 14 pages are availabe for public view
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Abstract
Background: With the increase in the rate of cesarean delivery worldwide and particularly in Egypt, the use of spinal anesthesia as a new alternative to general anesthesia was increasing to reach high rate in the last years.
Objectives: To evaluate the influence of type of anesthesia used in cesarean delivery on Neonatal Resuscitation Adaptation Score (NRAS), acid-base status of the newborn in Egyptian population.
Methods: A comparative observational study of 240 pregnant women and their newborn babies. All pregnant women with term gestational age 37-40 weeks, age 20-32 years, ASA I or II, with single pregnancy scheduled for elective caesarean section were included in this observational study. The study population divided in to two groups depending on the type of anesthesia used; 120 cases with spinal and 120 with general anesthesia.
Results: There was no statistically difference in the mother’s age, parity, NRAS at fifth min (NRAS 2), pH, oxygen saturation, heart rate (HR) (base line, base line reading, 1st, 3rd, 9th, 12th min.), blood pressure (BP) (base line reading, 9th, 12th min.) and time of anesthesia (induction to delivery interval) and the total operative time between both groups.
There was statistically significant increase in spinal group in comparison to general with first min (NRAS 1) (P= <0.001), HR at 6th min (P= 0.031), BP at 3rd min: systolic (P= 0.001) diastolic (Pnhhjjçjjjj= 0.011) and at 6th min: systolic (P= 0.001) diastolic (P= 0.007) and maternal satisfaction questionnaire score (P= 0.001).
Conclusion: Spinal anesthesia demonstrates better neonatal outcome with favorable safety profile than general anesthesia. It is associated with better fetal NRA Scores and greater maternal satisfaction