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Evaluation of Newborns by Normal Deliveries and Cesarean Sections under General Anesthesia by Application of Scanlon’s Scoring System

Humera Tahseen, Assistant Professor, Dept of Anaesthesiology, Sri Jayadev Cardiac Institute and Research Centre, Kalaburagi, Karnataka 585105, India. , Ravikumar M.1 , Humera Tahseen2

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Indian Journal of Anesthesia and Analgesia 5(5):p 732-735, May 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5518.6

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Abstract

 

 Background: In the present scenario there is an increased demand by the mothers for painless deliveries. Therefore the number of babies delivered by C Sections has increased. However it also necessitates one to study the effects of various agents and anesthetics used during such operations that may have immediate or long-term undesirable effects on physiological processes of newborns. With this background we tried to evaluate the newborns delivered by C section under general anesthesia using Scanlon’s scoring system. 

Methods: A total of 66 females were selected for the study based on including and excluding criteria. They were divided into two groups Group I (n=35) included females evaluated to have normal vaginal deliveries. Group II (n=31) included females for Caesarean section both elective and emergency. They were pre-anesthetically evaluated thoroughly. Both the groups were comparable in respect of maternal age, parity, birth weight, gestational age and duration of labor of each other. 

Results: Various assessments and scorings of Scanlon’s neurobiological behavioral scoring system collectively assessed as one more response called overall response. It signifies the integrity and commencement with response of central nervous system as, muscle tone, pinprick, sound, placing, alertness and decrement. Up to 24 hours of delivery overall response with low scores was noted in maximum no. of neonates in Group II as compared to Group I. Lastly, even at 48 hours of life, Group II with low scores was noted in more number of neonates as compared to neonates of Group I who has reached better scores. 

Conclusion: Assessment by Apgar scoring and application of Scanlon’s scoring system is different as far as clinical importance. Scanlon’s scoring system is highly recommended and sensitive evaluation of overall newborns  when central nervous system functioning is concerned.

 

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5518.6

Keywords

Evaluation of  Newborns; Scanlon’s Scoring System.

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