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Background: To compare general and spinal anaesthesia with respect to neonatal outcome and observation of post operative adverse effects born by elective caesarean section. Methods: 60 female parturients women were posted for elective caesarean section (CS) at appropriate gestational age under spinal anaesthesia (SA) and general anaesthesia (GA). There were equal no. of patients (n=30) for both the groups, GA and SA. Maternal age, weight, height, ASA grading, neonatal Apgar score (1 and 5 minute) were recorded.(1) Early neonatal neurobehavioural assessment using Scanlon's ENNS (Early Neonatal Neurobehavioural Scale) was done 8-10 hours post birth at the nursery.(2) Post operative adverse effects-Nausea, Vomiting, Pruritis, Shivering, Sedation and Post dural puncture headache (PDPH) were documented. Statistical analysis performed using student't' test and coefficient of variance. Results: Maternal age, weight, height and ASA grading were not different between the study groups. Apgar scores were overall better in SA group at 1 minute and similar at 5 minute between both the groups. But no statistical significance seen between the groups. Early neurobehavioural assessment was found to be different with regard to Moro's, Sucking and Startle reflexes.

iosr journal of dental and medical sciences

Comparative Evaluation of Neonates Delivered by Elective Caesarean Section under General Anaesthesia and Spinal Anaesthesia with Intrathecal Opioid (Fentanyl)