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KMID : 0438219720090010429
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Korea University Medical Journal
1972 Volume.9 No. 1 p.429 ~ p.436
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Effects of Anesthesia on Newborn Infant Delivered by Cesarean Section
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Abstract
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The effects of anesthesia on the clinical conditions of the newborn infants following cesarean section has been investigated. The results obtained were as follows;
From April 1970 to September 1971, there were 1, 552 deliveries at Korea University Medical College Hospital, inclusive of 155 cesarean section (9.98%).
1. Among 155 cesarean sections, 119 (7.66%) were primary sections and 36 (2.32%) repeat.
2. The youngest maternal age was 20 year and the oldest 43 year old, with the highest incidence (52.9%) between 25 and 29 years of age.
3. There were 83 (53.5%) of primipara and 72 (46.5%) of multipara.
4. Main indication for operation was cephalopelvic disproportion (31.0%), previous cesarean section (23.2%), prolonged labor (8.4%) and placenta previa (7.7%).
5. Majority of the newborn (61.3%) weighed at birth between 3, 000 and 4,000gm.
6. Evaluation of clinical condition of newborn by Apgar score one minute after delivery revealed that approximately 75% of infants had highest score (8-10), and 6% of babies had lowest (1-4).
7. In reviewing the complications following cesarean section, 15 (10.6%) of the total cases required resuscitation soon after delivery, 11 (7.77o) developed respiratory distress syndrome, and 6 (4. 2%) revealed weak sucking power.
8. There were 13 stillbirths and 5 neonatatal deaths and the gross perinatal mortality was 11.60%. The type of anesthesia seems not affect perinatal mortality substantially. However, the complications of labor thus affect fetal and neonatal losses.
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KEYWORD
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