Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics

The Apgar score system offers a standardized, effective, and convenient assessment for newborn infants. It has gained widespread application by obstetricians all over the world for more than half a century. Umbilical artery acid base studies provide the best measure of efficacy of intrapartum intervention and is now recommended in all of risk deliveries by both the British and American Colleges of Obstetrics and Gynecology and in some centres, it is practiced routinely following all deliveries. The aim of the current study was to assess the impact of 3 time intervals of cesarean section under spinal anesthesia{u2014}induction of anesthesia to delivery (I{u2013}D), initial skin incision to delivery (S{u2013}D), and uterine incision to delivery (U{u2013}D){u2014} on Apgar score and umbilical artery PH of the newborn as the primary outcome parameter. Our study is a prospective cohort study conducted at Kasr-Al Aini Maternity Hospital from January to June 2016. The study included 250 neonates born to women who underwent cesarean section under spinal anesthesia for term single neonates (90 neonates born to healthy women, 80 neonates born to diabetic women and 80 neonates born to hypertensive women). In our study we found out that umbilical artery PH was negatively correlated to the induction of spinal anesthesia to delivery interval

Issued also as CD