| Neurobehavioral Response of Newborn Infants Following Delivery by Normal Labor and Cesarean Section under General and Spinal Anesthesia. |
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Eun Ai Lee, Jung Hee Park, Yoon Ju Choi, Seung Ju Lee, Keun Lee |
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Department of Pediatric。College of Medicine, Ewha Womans University, Seoul, Korea |
| 정상 자연분만아와 제왕절개 분만아의 신경행동 반응의 비교 |
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이은애, 박정희, 최윤주, 이승주, 이 근 |
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이화여자대학교 의과대학 소아과학교실 |
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| Abstract |
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Scanlon*s Early Neonatal Neurobehavioral Scale was administered to 110 babies delivered
by normal labor and cesarean section.
Fifty of the mothers had normal vaginal delivery, thirty of the mothers were induced into
general anesthesia with thiopental sodium and thirty of the mothers received spinal anesthe-
sia with tetracaine before cesarean section.
The Scanlon*s scale involves an assessment of the infant*s state of wekefulness, varius
reflexes, his muscle tone and power, as well as his responses to various stimuli, including
pin prick, light and sound. Absent or very weak responses were grouped as “low” scores and
moderate or brisk responses as “high” scores.
Normal vaginal delivery group was associated with the greatest percentage of high score
on first day for tone, rooting, sucking, sound response and alertness. Spinal anesthesia group
was associated with the greatest percentage of high score on the first day for general asse-
ssment, tone, sucking, More responso and alertness. And there was a statistically significant
difference between spinal anesthesia group and general anesthesia group.
On the third day spinal anesthesia group was associated with the greater percentage of
high score for all tests although, the difference did not reach statistical significance.
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| Key Words:
Scanlon’s Early Neonatal Neurobehavioral Scale, Neurobehavior al response, Cesarean
section, General anesthesia, Spinal anesthesia
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