National Academy of Agricultural Sciences (NAAS)
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PRINT ISSN : 2319-7692
Online ISSN : 2319-7706 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcmas@gmail.com submit@ijcmas.com Editor-in-chief: Dr.M.Prakash Index Copernicus ICV 2018: 95.39 NAAS RATING 2020: 5.38 |
Canine neonates are highly vulnerable during the transition from intrauterine to extrauterine life, and rapid assessment of neonatal depression is important after Caesarean section. This study focused on the serial modified Apgar scores recorded in puppies delivered during a clinical study of three anaesthetic protocols in bitches undergoing emergency Caesarean section. Eighteen clinically apparently healthy pregnant bitches were allocated to three groups of six each. Group I received butorphanol–propofol induction followed by propofol constant-rate infusion (CRI); Group II received butorphanol–propofol induction followed by isoflurane; and Group III received butorphanol–propofol induction with epidural lignocaine 2% and propofol as required. Neonatal vitality was assessed using a seven-domain, 0–14 modified Apgar score incorporating mucous membrane colour, heart rate, respiratory rate, reflex irritability, mobility, suckling and vocalization. A total of 105 puppies with serial Apgar observations were represented in the analysed dataset (Group I, n=37; Group II, n=35; Group III, n=33). Mean Apgar scores increased significantly within every group from 5 to 60 min (p<0.01). At all assessment times, Group III had the highest scores, followed by Group I and Group II. Between-group differences were significant at 5, 20, 40 and 60 min (p<0.01). The 60-min mean scores were 9.48±0.18, 5.25±0.23 and 11.30±0.09 in Groups I, II and III, respectively. The findings support serial Apgar scoring as a practical bedside tool for documenting recovery of depressed puppies after Caesarean delivery. However, the seven-domain 14-point score used in the original dataset differs from contemporary five-domain 10-point canine Apgar systems; therefore, direct comparison with current published cut-offs should be made cautiously. Current RECOVER guidance also emphasizes serial assessment and clinical examination rather than using a single Apgar value as the sole trigger for resuscitation.
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