Caesarean section with spinal anesthesia with bupivacaine hydrochloride andprilocain hydrochloride compared to general anesthesia on neonatal serum bilirubin concentrations

摘要

In this study we examined neonatal hyperbiliru-binemia and jaundice among newborns delivered by caesarean section with spinal anesthesia with bupivacaine hydrochloride and prilocain hydrochloride and the newborns delivered by caesarean section with general anesthesia. MATERIALS-METHODS: We studied 274 patients who had delivered by caesarean section at 37-40 weeks in Balikesir Military Hospital between January 2005 and December 2006 under general anesthesia (First group, n=166) and under spinal anesthesia (second group, n=108). Indications are cephalopelvic disproportion, previous caesarean section, patient's choice, malpresentation and previous uterine operation 41.2%, 27%, 16.7%, 13.8%,1%respectively were included into this prospective study. Rh isoimmumza-tion and small for gestational age fetuses are excluded from the study. The neonatal blood samples for serum bilirubin determinations were drawn at birth and forth days after deliveries and compared.