Suleiman, Mohammed (2016) Effects of General versus Spinal Anesthesia over Apgar Score of Newborns Delivered by Cesarean Sections and Factors Associated with Apgar Score from January to March 2016 at Gandhi Memorial Hospital, Addis Ababa. Masters thesis, Addis Ababa University.
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Abstract
Introduction: The Apgar score is a practical method of systemically assessing newborn baby immediately after birth to identify those requiring resuscitation and to predict survival in neonatal period. In spite of the growing number of newborns that are delivered via Cesarean section, the decrease in Apgar score of babies delivered under cesarean has become one of the concerning issues. Objective: To assess the effects of general versus spinal anesthesia over Apgar score of newborns delivered by cesarean sections and factors associated with Apgar score from January to March 2016 at Gandhi Memorial Hospital, Addis Ababa. Method: Institutional based comparative cross sectional study design was conducted. Systematic random sampling technique was used to select study participants. Training was given for data collectors and supervisors. Regular supervision and follow up was made. Data was entered into Epi info version 7 computer software by investigators and was transported to SPSS version 20 computer program for analysis. Bivariate and multivariate analysis was used to identify factors associated with Apgar score. Result: A total of 86 study subjects were included. Majority of baby had low Apgar score at one minute and high Apgar score at five minute. Out of 43 mothers, who received spinal anesthesia, 15 patients (34.88%) gave birth to neonates having Apgar score >7 at one minute. On the other hand, out of 43 mothers who received general anesthesia, 7(16.3%) mothers gave birth to neonate having Apgar score ≥7 at one minute. It had been found that those neonates who were born under general anesthesia were three folds more likely to have low Apgar score than those who born under spinal anesthesia (AOR 2.768 (95% CI ((.876-8.745). Conclusion and recommendation: There was relatively a low Apgar score among newborn babies delivered under general anesthesia. Therefore, the use of spinal anesthesia was recommended.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 20 Nov 2018 09:31 |
| Last Modified: | 20 Nov 2018 09:31 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7573 |
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