| Abstract [eng] |
Introduction. Normal childbirth is the process by which a woman pushes the fetus, placenta, and lining from the uterine cavity. In case of disruption of normal physiological delivery, a cesarean section is performed. During childbirth, each woman experiences varying intensity of pain. Childbirth pain in itself causes adverse effects on the fetus and newborn thus analgesia is used to prevent this. Postpartum analgesia affects the condition of the newborn after birth. The aim of the study. A review of the literature and the case report intended to elucidate the effects of analgesics used during childbirth on the condition of the neonate after birth. Methods. The literature review was performed using Pubmed and Google Scholar databases. A clinical case is presented describing more severe condition of the newborn in which the mother was under general anesthesia during childbirth. Results. The literature review examines the condition of newborns after birth using different analgesic methods. The most commonly used method of labor analgesia in the world is epidural anesthesia. The described studies show significant differences in the assessment of the newborn's condition after birth using different methods of analgesia. A more severe condition of the newborn after birth has been observed in neonates born during childbirth under medical anesthesia. Case report. A newborn born to a mother under general anesthesia at birth was in a more severe condition, infant‘s Apgar scale score at the first minute after birth was 7 and superficial, unstable breathing was observed. Conclusions. Medication used during childbirth affects the condition of the newborn after birth. These neonates are more likely to have lower Apgar scale scores, and are more likely to have an umbilical artery pH below <7.15 and a higher need for neonatal resuscitation. Keywords. Childbirth; labor analgesia; newborn; Apgar scale; adverse effects. |
