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

  1. Amiel-Tison C, Barrier G, Shnider SM, Levinson G, Hughes SC, Stefani SJ. A new neurologic and adaptive capacity scoring system for evaluating obstetric medications in full-term newborns. Anesthesiology 1982; 56(5): 340-50.
  2. Hodgkinson R, Bhatt M, Kim SS, Grewal G, Marx GF. Neonatal neurobehavioral tests following cesarean section under general and spinal anesthesia. Am J Obstet Gynecol 1978; 132(6): 670-4.
  3. Abboud TK, Nagappala S, Murakawa K, David S, Haroutunian S, Zakarian M, et al. Comparison of the effects of general and regional anesthesia for cesarean section on neonatal neurologic and adaptive capacity scores. Anesth Analg 1985; 64(10): 996-1000.
  4. Brockhurst NJ, Littleford JA, Halpern SH. The Neurologic and Adaptive Capacity Score: a systematic review of its use in obstetric anesthesia research. Anesthesiology 2000; 92(1): 237-46.
  5. Salisbury AL, Lester BM, Seifer R, Lagasse L, Bauer CR, Shankaran S, et al. Prenatal cocaine use and maternal depression: effects on infant neurobehavior. Neurotoxicol Teratol 2007; 29(3): 331-40.
  6. Moraes Barros MC, Guinsburg R, de Araujo PC, Mitsuhiro S, Chalem E, Laranjeira RR. Exposure to marijuana during pregnancy alters neurobehavior in the early neonatal period. J Pediatr 2006; 149(6): 781-7.
  7. Law KL, Stroud LR, LaGasse LL, Niaura R, Liu J, Lester BM. Smoking during pregnancy and newborn neurobehavior. Pediatrics 2003; 111(6 Pt 1): 1318-23.
  8. Suzuki K, Nakai K, Hosokawa T, Oka T, Okamura K, Sakai T, et al. Association of maternal smoking during pregnancy and infant neurobehavioral status. Psychol Rep 2006; 99(1): 97-106.
  9. Moraes Barros MC, Guinsburg R, Mitsuhiro SS, Chalem E, Laranjeira RR. Neurobehavior of full-term small for gestational age newborn infants of adolescent mothers. J Pediatr (Rio J) 2008; 84(3): 217-23.
  10. Aydin GB, Coskun F, Sahin A, Aypar U. Influence of sevoflurane and desflurane on neurological and adaptive capacity scores in newborns. Saudi Med J 2008; 29(6): 841-6.
  11. Kuhnert BR, Kennard MJ, Linn PL. Neonatal neurobehavior after epidural anesthesia for cesarean section: a comparison of bupivacaine and chloroprocaine. Anesth Analg 1988; 67(1): 64-8.
  12. Backe SK, Kocarev M, Wilson RC, Lyons G. Effect of maternal facial oxygen on neonatal behavioural scores during elective Caesarean section with spinal anaesthesia. Eur J Anaesthesiol 2007; 24(1): 66-70.
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: 01 November 2024
  • Accept Date: 06 April 2022

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