AbstrakTeknik anestesi spinal atau anestesi umum pada seksio sesarea menyebabkan penurunan tekanan darah berbeda, demikian pula nilai APGAR bayi. Tujuan penelitian ini untuk mengetahui kejadian hipotensi, nilai APGAR 1 menit dan 5 menit antara tindakan anestesi spinal dan anestesi umum. Penelitian dilakukan dengan cara randomized cross sectional pada 70 pasien di Rumah Sakit Dr. Hasan Sadikin Bandung pada FebruariMaret 2011. Setelah dilakukan randomisasi, pasien dibagi dalam dua kelompok, yaitu kelompok I (anestesi spinal) dan kelompok II (anestesi umum). Data kejadian hipotensi dianalisis dengan uji chi-kuadrat, untuk nilai APGAR menggunakan Uji Mann-Whitney. Hasil penelitian menunjukkan kejadian hipotensi 57,1% pada kelompok anestesi spinal, sedangkan kelompok anestesi umum hanya 5,7% (p<0,001). Nilai APGAR ratarata 1 menit pada kelompok anestesi spinal 8, sedangkan pada kelompok anestesi umum 7,06. Berdasarkan Uji Mann Whitney didapatkan p<0,001. Nilai APGAR rata-rata 5 menit pada kelompok anestesi spinal 9,71, sedangkan pada kelompok anestesi umum 9,31 (p=0,015). Simpulan penelitian ini adalah angka kejadian hipotensi lebih tinggi pada anestesi spinal daripada anestesi umum. Nilai APGAR bayi 1 menit dan 5 menit lebih tinggi pada anestesi spinal dibandingkan dengan anestesi umum.Kata kunci: Anestesi spinal, anestesi umum, hipotensi, nilai APGAR, seksio sesarea Comparison of Spinal Anesthesia and General Anesthesia Effects on Hypotension and APGAR Scoring Values of Caesarean Section Babies AbstractSpinal anesthesia and general anesthesia techniques in cesarean section lead to different decreased blood pressure and APGAR score. The purpose of this study was to identify the differences in hypotension as well as, 1 minute and 5 minutes APGAR scores in spinal anesthesia and general anesthesia. A randomized cross-sectional study was conducted on 70 patients at Dr. Hasan Sadikin General Hospital Bandung during the period of February to March 2011. Patients were divided into two groups: group I (spinal anesthesia) and group II (general anesthesia). The data on hypotension was analyzed with chi square test while, the APGAR scores were analyzed using Mann Whitney test. The results of the study showed that there were 57.1% cases of hypotension in the spinal anesthesia group whereas the percentage in the group of general anesthesia group was only 5.7% (p<0.001). The mean for1 minute APGAR score in the spinal anesthesia group was 8 whereas the general anesthesia group gave 7.06. The Mann Whitney showed that p<0.001. The mean for 5 minute APGAR score or the spinal anesthesia group was 9.71, where as the mean for the general anesthesia group was 9.31 with the. Mann Whitney test result of p=0.015. The conclusion of this study is the hypotension incidence is higher in spinal anesthesia compared to general anesthesia. The 1 minute and 5 minute APGAR scores are higher for spinal anesthesia compared to general anesthesia.