@article{article_1804021, title={Comparative Analysis of General vs. Spinal Anesthesia on Neonatal Outcomes in Cesarean Sections: A Retrospective Study}, journal={Phoenix Medical Journal}, volume={8}, pages={11–16}, year={2026}, DOI={10.38175/phnx.1804021}, url={https://izlik.org/JA44JY32AJ}, author={Beyazıt, Ahmet and Sevindik, Hasan Cem and Karaali, Sergen and Dolapçıoğlu, Kenan Serdar and Soylu Karapınar, Oya and Güngören, Arif}, keywords={Sezaryen, Genel Aneztezi, Spinal Aneztezi, APGAR}, abstract={Objective: This study compared the effects of general and spinal anesthesia on neonatal outcomes, including APGAR scores and neonatal intensive care unit (NICU) admission rates, in a large series of cesarean deliveries. Material and Method: A retrospective analysis of electronic medical records of patients who underwent cesarean section at a university hospital between January 2010 and December 2024 was conducted. Patients over 18 years of age with live births after 20 weeks of gestation were included. Demographic data, cesarean section number, indication, anesthesia type, and neonatal outcomes (Apgar scores and NICU admission) were recorded. Statistical analysis was performed using SPSS version 22.0. Results: A total of 3,876 pregnant women were included in the study. The mean Apgar scores at 1 and 5 minutes were significantly lower in the general anesthesia group compared to the spinal anesthesia group (1st 7.41±1.5/7.55±1.07; 5th 8.53±1.07/8.75±0.84; p <0.001). The NICU admission rate was 26.4% in the general anesthesia group and 22.8% in the spinal anesthesia group (p=0.009). Logistic regression analysis revealed that the risk of NICU admission was 1.214 times higher in the general anesthesia group (OR:1.214; 95% CI:1.049-1.405, p=0.009). Conclusion: The choice of anesthesia for cesarean section has significant effects on neonatal health. Spinal anesthesia provides superior results in terms of both Apgar scores and NICU admission rates compared to general anesthesia. Based on these results, spinal anesthesia should be the first choice for elective cesarean sections, and even in emergency situations, spinal anesthesia should be preferred when there are no contraindications.}, number={1}, organization={Bu çalışma için herhangi bir finansal destek alınmamıştır. Yazarlar çıkar çatışması bildirmemiştir}