There were statistically significant differences between the 2 groups as regarding the APGAR score recorded at 1 min and 5 min, where with combined spinal – epidural anesthesia the APGAR score readings were better than with general anesthesia. There was statistically significant difference between the 2 groups as regarding the recorded HCO3 readings after 1 min and after 5 min ,where the newborns in general anesthesia group had a statistically significant lower HCO3 (more incidence of metabolic acidosis) as compared to the newborns in combined spinal – epidural group. Patients in general anesthesia group were significantly more tachycardic compared to patients in combined spinal – epidural group, it could be attributed to: the stress of rapid sequence induction and inadequate analgesia as we postponed giving analgesic drugs till delivery of the fetus.