The Relation between Neurologic and Adaptive Capacity Scoring with Maternal, Fetal and Anesthetic Factors. in Cesarean Born Neonates

Document Type : Original Article (s)

Authors

1 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Associate Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

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.

Keywords

References

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Journal of Isfahan Medical School
Volume 29, Issue 151 - Serial Number 151
July and August 2011
Pages 1165-1174

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History

  • Receive Date: 11 June 2011
  • Revise Date: 02 May 2024
  • Accept Date: 06 April 2022

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