Effect of Induction Delivery Time on Apgar Score in Lower Segment Cesarean Section Under Spinal Anesthesia
Journal Title: People's Journal of Scientific Research. - Year 2016, Vol 9, Issue 1
Abstract
We aimed to study the effect of induction delivery time on the Apgar score of the baby in patients undergoing lower segment caesarean section under spinal anesthesia. There are no proper guidelines available for the optimum induction to delivery time, but published literature informs that the average induction to delivery time is 10-20mins. There is popular belief that if the patient is given spinal anesthesia, the duration of induction delivery time has no effect on Apgar score of the baby. Many studies have already reported the effect of induction delivery time on Apgar score under general anesthesia; however, there are only a few studies available for the same under spinal anesthesia. Sixty term parturients undergoing lower segment caesarian section under spinal anesthesia during the study period were randomly selected. The time of induction, time of incision to skin, time of incision to uterus, time of delivery of baby and the Apgar score of the baby at 1min was recorded after giving spinal anesthesia. We allocated 60 patients under two groups of 30 each- Group A (Induction delivery time< 20min) and Group B (Induction delivery time>20min). The mean induction delivery time (Group A: 14.3 ±2.96 min; Group B: 22.79 ±2.58 min) and the Apgar score (Group A: 8.13 ±0.73; Group B: 6.67±0.88) of both the groups were compared statistically [p value is less than 0.0001]. Here we concluded that induction delivery time is prolonged under spinal anesthesia there is a significant decrease in the Apgar score.
Authors and Affiliations
Astha Palan, , N Agrawal
Keywords
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