Ｏｂｊｅｃｔｉｖｅ　To investigate the effects of different fluid therapy strategies on fetuses during caesarean section under combined spinal-epidural anesthesia.　Methods　A total of 100 pregnant women [American Society of Anesthesiologists (ASA)grade Ⅱ] who were scheduled to undergo caesarean were enrolled and randomly divided into to a control group (group C) and a goal directed fluid therapy (GDFT) group (group G). Both groups were given 10 ml/kg Lactated Ringer′s at a bolus and maintained at the rate of 2 ml·kg-1·h-1. Group C were treated with vasopressors when the blood pressure was 80% lower than the baseline or the systolic blood pressure (SBP) was lower than 90 mmHg (1 mmHg=0.133 kPa). Meanwhile, group G was treated with GDFT guided by LiDCOrapid-CNAP (continuous noninvasive arterial blood pressure measurement). After delivery, neonate Apgar scores and blood gas analysis results of the umbilical artery and vein were recorded.　Results　The Apgar scores of the neonates in group C were 10, expect 1 case of 9 score and 1 case of 8 score. All the neonates in group G had 10 Apgar scores. Compared with group C, group G presented remarkable increases in umbilical vein pH value and pulse oxygen saturation (SpO2) and umbilical arterial oxygen saturation (SO2) as well as marked decreases in lactate (Lac) levels and partial pressure of carbon dioxide(PCO2)(P＜0.05). 　Conclusions　GDFT guided by LiDCOrapid-CNAP can improve oxygen and metabolism to fetuses during caesarean section.