Spinal anaesthesia for Caesarean section

The influence of hypotension on neonatal outcome

Authors

  • B. C. CORKE,

    1. B.C. Corke,* MB, ChB, FFARCS, Assistant Professor of Anesthcsiology, Sanjay Datta, MD, Assistant Professor of Anesthesia. Gerald W. Ostheimer, MD, Assistant Professor of Anesthesia. Jesse B. Weiss. MD, Associate Professor of Anesthesia, Milton H. Alper, MD, Professor of Anesthesia, Department of Anesthesia, Harvard Medical School and Brigham and Women's Hospital, 221 Longwood Avenue, Boston, Massachusetts 02115, USA.
    Search for more papers by this author
  • S. DATTA,

    1. B.C. Corke,* MB, ChB, FFARCS, Assistant Professor of Anesthcsiology, Sanjay Datta, MD, Assistant Professor of Anesthesia. Gerald W. Ostheimer, MD, Assistant Professor of Anesthesia. Jesse B. Weiss. MD, Associate Professor of Anesthesia, Milton H. Alper, MD, Professor of Anesthesia, Department of Anesthesia, Harvard Medical School and Brigham and Women's Hospital, 221 Longwood Avenue, Boston, Massachusetts 02115, USA.
    Search for more papers by this author
  • G. W. OSTHEIMER,

    1. B.C. Corke,* MB, ChB, FFARCS, Assistant Professor of Anesthcsiology, Sanjay Datta, MD, Assistant Professor of Anesthesia. Gerald W. Ostheimer, MD, Assistant Professor of Anesthesia. Jesse B. Weiss. MD, Associate Professor of Anesthesia, Milton H. Alper, MD, Professor of Anesthesia, Department of Anesthesia, Harvard Medical School and Brigham and Women's Hospital, 221 Longwood Avenue, Boston, Massachusetts 02115, USA.
    Search for more papers by this author
  • J. B. WEISS,

    1. B.C. Corke,* MB, ChB, FFARCS, Assistant Professor of Anesthcsiology, Sanjay Datta, MD, Assistant Professor of Anesthesia. Gerald W. Ostheimer, MD, Assistant Professor of Anesthesia. Jesse B. Weiss. MD, Associate Professor of Anesthesia, Milton H. Alper, MD, Professor of Anesthesia, Department of Anesthesia, Harvard Medical School and Brigham and Women's Hospital, 221 Longwood Avenue, Boston, Massachusetts 02115, USA.
    Search for more papers by this author
  • M. H. ALPER

    1. B.C. Corke,* MB, ChB, FFARCS, Assistant Professor of Anesthcsiology, Sanjay Datta, MD, Assistant Professor of Anesthesia. Gerald W. Ostheimer, MD, Assistant Professor of Anesthesia. Jesse B. Weiss. MD, Associate Professor of Anesthesia, Milton H. Alper, MD, Professor of Anesthesia, Department of Anesthesia, Harvard Medical School and Brigham and Women's Hospital, 221 Longwood Avenue, Boston, Massachusetts 02115, USA.
    Search for more papers by this author

  • *

    Department of Anesthesiology, North Carolina Memorial Hospital 204H, Chapel Hill. NC 27514, USA.

  • This study was presented at the Autumn Meeting 1978 of the Obstetric Anaesthetists Association and abstracted in Anaesthesia 1979; 34: 116.

Summary

The effect upon the neonate of a short period of maternal hypotension sustained during the initiation of spinal analgesia for Caesarean section was studied. Babies born to mothers with hypotension were significantly more acidotic than controls although acid-base levels were still within normal limits. Neuro-behavioural studies were found to be normal in both groups at 4 and 24 hours. It was concluded that a short period (<2 minutes) of hypotension was not harmful to the neonate.

Ancillary