Effect of different anesthesia on neonatal cesarean birth

Objective: To investigate the effect of different anesthesia on neonatal Apger Score with cesarean birth.Methods: Retrospectively analyzed the Apger Score of the 10-year cesarean birth of the neonatal with different anesthesia.Results: There were 12 279 cases performed cesarean sections in 10 years.Among them,9.48% were with epidural anesthesia,60.37% spinal anesthesia,28.7% epidural and spinal anesthesia,1.43% intubation anesthesia.The incidence of neonatal asphyxia with different anesthesia were 0.42%、0.63%、0.34% and 70.45% respectively.Compared with the other anesthesia methods,the rate of neonatal asphyxia was significantly higher with intubation anesthesia,which was of significant differences.However,the fetal mortality with intubation anesthesia was 0% and survival rate of rescue was 100%.Conclusion: It is safe to use spinal anesthesia in cesarean section,which has less effect on neonatal.While for the patient with contraindication of spinal and epidural anesthesia,or ASA physical status of over class Ⅲ,it is better to choose general anesthesia.Therefore,reasonable general management is beneficial for the neonatal rescue.