PERBANDINGAN SKOR APGAR BAYI YANG LAHIR MELALUI BEDAH SESAR DENGAN PEMBERIAN ANALGESI SPINAL DAN ANALGESI EPIDURAL

Abstract

Background: The number of cesarean section had increased since 30 years ago in the world. Because of the advanced development in anesthesia techniques, the number of cesarean section that used anesthesia had increased. The common anesthesia techniques in cesarean section were general anesthesia, spinal analgesia and epidural analgesia. The objective of this study is to compare neonates apgar score in cesarean section that used spinal analgesia and epidural analgesia. Methods: This is an retrospective study, using descriptive analytic design. This study use data from 53 neonates born alive with cesarean section using spinal analgesia and epidural analgesia obtained from medical records at RSUP dr.Kariadi Semarang in periods 1 January 2009 – 31 December 2009. Data were collected, classified and then shown on tables. The data analysis applies SPSS 15 for windows with Mann-Whitney test. Result: In cesarean section with spinal analgesia in the first minute, the fifth and tenth obtained the same results that 34 neonates (100%) with Apgar score of 7-10. And with epidural analgesia in the first minute, the fifth and tenth obtained the same results that 19 neonates (100%) with Apgar score of 7-10. Results of data analysis showed a significant difference only in the tenth minute with a provision of spinal analgesia and epidural analgesia. Conclusion: There was no significant difference in Apgar scores of neonates born through the granting of cesarean section with the use of spinal analgesia and epidural analgesia on the minutes of the first and fifth minute, while in the tenth minute there was a significant difference. Keywords: Spinal analgesia, epidural analgesia, apgar score, cesarean section