Obstetric anaesthesia

Association of the dose of maternal general anaesthesia during Caesarean delivery with 5-minute Apgar scores: a retrospective single centre cohort study

BJA OpenPublished Retrospective cohort study

Main finding · 5-min Apgar score <7, per 5-MAC-minute increase in EMAC-AUCResult — go to the resultAdjusted odds ratio 1.10 95% CI 1.05–1.22

Authors' conclusion

In this cohort of preterm, late preterm, and term neonates delivered via planned CD or Caesarean hysterectomy, total general anaesthetic dose was statistically associated with the 5-min Apgar score, although the clinical effect was modest.

Study context

Population
Neonates born via planned Caesarean delivery under maternal GA, January 2013 to March 2022
Participants
101 neonates
Exposure
Total maternal GA dose and 5-min Apgar score <7
Outcome
5-min neonatal Apgar score <7
Follow-up
5 min
Methodological detailssingle centre, multivariable logistic regression
  • Single centre
  • Multivariable logistic regression

Main finding

As reported in the abstract

5-min Apgar score <7, per 5-MAC-minute increase in EMAC-AUC

Adjusted odds ratio

1.10

95% CI 1.05–1.22

P < 0.001

Per 5-MAC-minute increase in EMAC-AUC
aOR 1.10 (95% CI 1.05–1.22); P < 0.001

Per 5-MAC-minute increase in EMAC-AUC, as printed

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
5-min Apgar score <7, further adjusted for maternal MAP80AUC1.05 (1.00–1.16)P = 0.177

Original publication

Association of the dose of maternal general anaesthesia during Caesarean delivery with 5-minute Apgar scores: a retrospective single centre cohort study. BJA Open. Published 27 February 2026. doi:10.1016/j.bjao.2026.100534

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