Isfahan University of Medical Sciences Journal of Isfahan Medical School 1027-7595 29 151 2011 09 23 The Relation between Neurologic and Adaptive Capacity Scoring with Maternal, Fetal and Anesthetic Factors. in Cesarean Born Neonates The Relation between Neurologic and Adaptive Capacity Scoring with Maternal, Fetal and Anesthetic Factors. in Cesarean Born Neonates 1165 1174 13500 FA Maryam Sharifi Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Seyed Jalal Hashemi Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran 0000-0001-9848-440X Mitra Jabalameli Associate Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Journal Article 2011 06 11 Background: Neurologic and adaptive capacity scoring (NACS) is considered as a screening test for recognizing the central nervous system depression due to the effects of medications in neonates. This test is able to show the neurologic and behavioral changes even in the presence of normal apgar score. The aim of this study was to determine the relationship between the NACS with maternal, fetal and anesthetic factors. Methods: This descriptive analytical cross sectional study was performed on 100 cesarean born neonates. Data were collected simply and by filling the questionnaire. NACS score ≤ 34 supposed as abnormal and score ≥ 35 supposed as normal.Findings: NACS mean Score in 3 different times (15 min, 2 hours and 24 hours after birth) was more than 35. The correlation between anesthetic method and the used drugs with NACS was significant. There were also a significant relation between NACS and studied fetal factors (gestational age, apgar score in 1.5 minutes, sex) and also some maternal factors (gravity, maternal heart disease, twin or multifetal pregnancies). Conclusion: The normal NACS in 3 different times (15 min, 2 hours and 24 hours after birth) showed a good maternal, fetal and anesthetic conditions in Shahid Beheshti hospital, Isfahan. Spinal anesthesia with lidocaine is recommended for caesarean section instead of general anesthesia for having a better NACS. Background: Neurologic and adaptive capacity scoring (NACS) is considered as a screening test for recognizing the central nervous system depression due to the effects of medications in neonates. This test is able to show the neurologic and behavioral changes even in the presence of normal apgar score. The aim of this study was to determine the relationship between the NACS with maternal, fetal and anesthetic factors. Methods: This descriptive analytical cross sectional study was performed on 100 cesarean born neonates. Data were collected simply and by filling the questionnaire. NACS score ≤ 34 supposed as abnormal and score ≥ 35 supposed as normal.Findings: NACS mean Score in 3 different times (15 min, 2 hours and 24 hours after birth) was more than 35. The correlation between anesthetic method and the used drugs with NACS was significant. There were also a significant relation between NACS and studied fetal factors (gestational age, apgar score in 1.5 minutes, sex) and also some maternal factors (gravity, maternal heart disease, twin or multifetal pregnancies). Conclusion: The normal NACS in 3 different times (15 min, 2 hours and 24 hours after birth) showed a good maternal, fetal and anesthetic conditions in Shahid Beheshti hospital, Isfahan. Spinal anesthesia with lidocaine is recommended for caesarean section instead of general anesthesia for having a better NACS. https://jims.mui.ac.ir/article_13500_357861553d0db7307050a24ce16a8c64.pdf