EFFECT OF ANESTHESIA VARIANTS ON THE COURSE OF THE EARLY POSTNATAL ADAPTATION PERIOD OF NEWBORNS WHO ARE BORN TO WOMEN WITH COMMUNITY-ACQUIRED PNEUMONIA

Аннотация

This article describes the effect of anesthesia in the early postnatal period in children born to women with CAP. The children were divided into three groups depending on the method of anesthesia used in women in labor: EA or CA, variants of CA and EA with NIV with positive PEEP, and GMA with MV. Babies were assessed using the Apgar scale at 1 and 5 min of life and the NACS at 1 and 24 h after birth. Apgar score showed a significant (p3<0.05) decrease in scores in groups 2 and 3. By the first minute, Group 1 babies had a score of 8.1±0.1, while Group 2 had only a score of 7.1±0.2 and Group 3 had a score of 6.7±0.3. By the fifth minute, newborns in group 1 were scored 9.3±0.2, while in group 2 they scored 7.2±0.1, and in group 3 they scored only 7.0±0.4 (p3<0.05). The overall neuropsychiatric adaptation score on the NACS in tests of adaptive abilities 2 h after birth in Group 1 babies was significantly higher than that in Group 2 and 3 newborns.