• Elif Bengi Sener, Fuat Guldogus, Deniz Karakaya, Sibel Baris, Serhat Kocamanoglu, and Ayla Tur.
• Department of Anesthesiology and Reanimation, Ondokuzmayis Universit, and University Faculty of Medicine, Samsun, Turkey. bengimd@hotmail.com
• Gynecol. Obstet. Invest. 2003 Jan 1;55(1):41-5.

AbstractWe assessed the influence of anesthetic technique for cesarean section on neonatal outcome. Thirty parturient women (ASA I/II) were randomly allocated into two groups. In Group GA general anesthesia was induced with 4 mg.kg(-1) thiopental and 1.5 mg.kg(-1) succinylcholine. In group EA epidural anesthesia was performed with 20 ml 0.375% bupivacaine through L(3-4) inter-space. 1-min Apgar scores were significantly higher in group EA (p < 0.001). Neurologic and Adaptive Capacity scores at 2 and 24 h were higher in group EA (p < 0.001). In terms of blood gas values, umbilical arterial pH and pO(2) values were higher in group EA (p < 0.05 and p < 0.001, respectively). The first breast-feeding intervals were found to be shorter in group EA (p < 0.001). We conclude that in terms of better Apgar and NAC scores, acid-base status and earlier initiation of breast-feeding, the epidural anesthesia may be preferred to general anesthesia in cesarean section.Copyright 2003 S. Karger AG, Basel

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