Anaesthetic method and short-term outcomes of preterm infants delivered by caesarean section at a tertiary hospital in South Africa.
| Title: | Anaesthetic method and short-term outcomes of preterm infants delivered by caesarean section at a tertiary hospital in South Africa. |
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| Authors: | Stander, R.1, Tooke, L.1, Horn, A. R.1 alan.horn@uct.ac.za |
| Source: | South African Journal of Child Health. Sep2019, Vol. 13 Issue 3, p125-129. 5p. |
| Subject Terms: | *PREMATURE infants, *CESAREAN section, *APGAR score, *NEWBORN infants, *INFANTS |
| Geographic Terms: | CAPE Town (South Africa), SOUTH Africa |
| Abstract: | Background. There are inconsistent published data describing the influence of maternal anaesthetic type during caesarean section (CS) on outcomes of preterm neonates. Objectives. To describe indications and type of anaesthesia in preterm neonates, and their short-term outcomes, comparing spinal anaesthesia (SA) to general anaesthesia (GA). Methods. Data were collected retrospectively on preterm babies born at 28 - 35 weeks’ gestation by CS between 1 January and 30 September 2014 at Groote Schuur Hospital, Cape Town, South Africa. Babies with missing data were excluded. The largest group of babies with similar indications for delivery were identified from the theatre register. Baseline characteristics and short-term outcomes for this group were extracted from an existing prospective data base, and compared between those delivered under SA and GA. Results. Data were available for 226 deliveries, having excluded 23 with incomplete data. Most babies (75%) were delivered under SA. The most common indication for CS was ‘cardiotocograph abnormalities’, in 139 deliveries. Within this group, SA was the more frequent (81.7% v. 12.9%), while GA was associated with lower Apgar scores (p<0.001) and more intubation at birth (p=0.004). There was no difference in mortality when comparing SA with GA. Conclusion. Our data suggest a sedative effect of maternal GA on preterm babies delivered by CS, and the need for staff with advanced resuscitation skills. This study provides novel baseline data in our setting, but these data need to be validated in a prospective study. [ABSTRACT FROM AUTHOR] |
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| Items | – Name: Title Label: Title Group: Ti Data: Anaesthetic method and short-term outcomes of preterm infants delivered by caesarean section at a tertiary hospital in South Africa. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Stander%2C+R%2E%22">Stander, R.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Tooke%2C+L%2E%22">Tooke, L.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Horn%2C+A%2E+R%2E%22">Horn, A. R.</searchLink><relatesTo>1</relatesTo><i> alan.horn@uct.ac.za</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22South+African+Journal+of+Child+Health%22">South African Journal of Child Health</searchLink>. Sep2019, Vol. 13 Issue 3, p125-129. 5p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22PREMATURE+infants%22">PREMATURE infants</searchLink><br />*<searchLink fieldCode="DE" term="%22CESAREAN+section%22">CESAREAN section</searchLink><br />*<searchLink fieldCode="DE" term="%22APGAR+score%22">APGAR score</searchLink><br />*<searchLink fieldCode="DE" term="%22NEWBORN+infants%22">NEWBORN infants</searchLink><br />*<searchLink fieldCode="DE" term="%22INFANTS%22">INFANTS</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22CAPE+Town+%28South+Africa%29%22">CAPE Town (South Africa)</searchLink><br /><searchLink fieldCode="DE" term="%22SOUTH+Africa%22">SOUTH Africa</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background. There are inconsistent published data describing the influence of maternal anaesthetic type during caesarean section (CS) on outcomes of preterm neonates. Objectives. To describe indications and type of anaesthesia in preterm neonates, and their short-term outcomes, comparing spinal anaesthesia (SA) to general anaesthesia (GA). Methods. Data were collected retrospectively on preterm babies born at 28 - 35 weeks’ gestation by CS between 1 January and 30 September 2014 at Groote Schuur Hospital, Cape Town, South Africa. Babies with missing data were excluded. The largest group of babies with similar indications for delivery were identified from the theatre register. Baseline characteristics and short-term outcomes for this group were extracted from an existing prospective data base, and compared between those delivered under SA and GA. Results. Data were available for 226 deliveries, having excluded 23 with incomplete data. Most babies (75%) were delivered under SA. The most common indication for CS was ‘cardiotocograph abnormalities’, in 139 deliveries. Within this group, SA was the more frequent (81.7% v. 12.9%), while GA was associated with lower Apgar scores (p<0.001) and more intubation at birth (p=0.004). There was no difference in mortality when comparing SA with GA. Conclusion. Our data suggest a sedative effect of maternal GA on preterm babies delivered by CS, and the need for staff with advanced resuscitation skills. This study provides novel baseline data in our setting, but these data need to be validated in a prospective study. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of South African Journal of Child Health is the property of South African Medical Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.7196/SAJCH.2019.v13i3.1606 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 125 Subjects: – SubjectFull: CAPE Town (South Africa) Type: general – SubjectFull: SOUTH Africa Type: general – SubjectFull: PREMATURE infants Type: general – SubjectFull: CESAREAN section Type: general – SubjectFull: APGAR score Type: general – SubjectFull: NEWBORN infants Type: general – SubjectFull: INFANTS Type: general Titles: – TitleFull: Anaesthetic method and short-term outcomes of preterm infants delivered by caesarean section at a tertiary hospital in South Africa. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Stander, R. – PersonEntity: Name: NameFull: Tooke, L. – PersonEntity: Name: NameFull: Horn, A. R. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2019 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 19943032 Numbering: – Type: volume Value: 13 – Type: issue Value: 3 Titles: – TitleFull: South African Journal of Child Health Type: main |
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