The influence of mode of anaesthesia for caesarean delivery on neonatal Apgar scores in the Czech Republic and Slovakia: secondary analysis of the results of an international survey in 2015
Jazyk angličtina Země Česko Médium print-electronic
Typ dokumentu časopisecké články
PubMed
30976125
DOI
10.5507/bp.2019.008
Knihovny.cz E-zdroje
- Klíčová slova
- Apgar score, caesarean section, general anaesthesia, international survey, neonatal outcome, rapid sequence induction, rocuronium, suxamethonium,
- MeSH
- Apgar skóre * MeSH
- celková anestezie statistika a číselné údaje MeSH
- císařský řez metody MeSH
- depolarizující myorelaxancia terapeutické užití MeSH
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- nedepolarizující myorelaxancia terapeutické užití MeSH
- novorozenec MeSH
- porodnická anestezie MeSH
- retrospektivní studie MeSH
- rokuronium terapeutické užití MeSH
- sukcinylcholin terapeutické užití MeSH
- svodná anestezie statistika a číselné údaje MeSH
- těhotenství MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- Slovenská republika MeSH
- Názvy látek
- depolarizující myorelaxancia MeSH
- nedepolarizující myorelaxancia MeSH
- rokuronium MeSH
- sukcinylcholin MeSH
AIMS: The purpose of this international survey was to describe the impact of current practices and techniques of caesarean section on the neonatal Apgar score in the Czech Republic (CZE) and Slovakia (SVK). METHODS: All Czech and Slovak departments that provide obstetric anaesthesia were invited to participate in a one-month (November 2015) prospective study that monitored in details all peripartum anaesthetic practices, delivered by anaesthesiologists. Participating centers recorded all data on-line in the CLADE-IS database (Masaryk University, CZE). RESULTS AND DISCUSSIONS: We collected data of 10119 women who delivered 10226 newborns. A caesarean section was recorded in 25.1% of deliveries (CZE 23.2%; SVK 30%). General anaesthesia was used for caesarean section in 37.5% of the cases (CZE 40%, SVK 33%). There was no statistically significant difference in the Apgar score lower than 7 in the 1, 5 or 10 min in groups of general and regional anaesthesia for caesarean section, when only elective sections of in-term babies with birth weight over 2500 g were analyzed. We found no statistically significant differences in the Apgar score in newborns of women intubated for caesarean section in rocuronium (n=21; 2.2%) and suxamethonium (n=889; 93%). CONCLUSION: We found no difference in neonatal outcomes in groups of general and regional anaesthesia for caesarean section when only out-of-risk newborns were analyzed. The risk factors were identified as follows: an acute caesarean section, preterm babies, birth weight less than 2 500 g, born in perinatological center and multiple pregnancy - second baby. TRIAL REGISTRATION: ClinicalTrials.gov (ID: NCT02380586) https://clinicaltrials.gov/ct2/show/NCT02380586.
Department of Anaesthesiology and Intensive Care Medicine Chrudim Hospital Chrudim Czech Republic
Department of Anaesthesiology and Intensive Care Medicine Horovice Hospital Horovice Czech Republic
Department of Anaesthesiology and Intensive Care Medicine Kosice Saca Hospital Kosice Slovakia
Department of Anaesthesiology and Intensive Care Medicine Opava Hospital Opava Czech Republic
Department of Anaesthesiology and Intensive Care Medicine Piestany Hospital Piestany Slovakia
Department of Anaesthesiology and Intensive Care Medicine University Hospital Martin Martin Slovakia
Institute of Biostatistics and Analyses Faculty of Medicine Masaryk University Brno Czech Republic
Citace poskytuje Crossref.org
ClinicalTrials.gov
NCT02380586
