Comparison of the actual fasting duration for liquids/clear fluids, perioperative haemodynamic changes and maternal satisfaction in parturients undergoing caesarean section after introducing educational pamphlets and checklists: An observational quality improvement study
Trial Snapshot
- Phase
- Phase 2/3
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- To compare the impact of optimization of pre operative fasting duration for liquids/clear fluids by introduction of educational pamphlets and checklists on perioperative haemodynamics and maternal satisfaction score using LIKERT scale in parturients undergoing elective LSCS.
Study Overview
Brief Summary
Fasting duration before the surgery is a very debatable topic in India as many surgeons, nursing staff and patients follow blanket fasting orders which contradicts the ASA and ISA fasting guidelines and which leads to perioperative harm to the patients in many ways, such as intra operative hemodynamic changes, changes in the rbs values, decreased overall satisfaction score of the patients, dehydration. hence through this study we want to educate everyone including the patients regarding proper and correct guidelines and plan to work on their compliance or non compliance.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Masking
- None
Eligibility Criteria
- Ages
- 18.00 Year(s) to 40.00 Year(s) (—)
- Sex
- Female
Inclusion Criteria
- •(1) full-term childbirth (more than 37 weeks of pregnancy); (2) meeting the indications of cesarean section operation according to the criterion made by Obstetrics group, Obstetrics and Gynecology, (3) receiving the spinal anaesthesia for elective LSCS.
Exclusion Criteria
- •(1) women combined with serious surgical diseases; (2) placenta accreta and placenta adhesion; (3) twins and multiple births; (4) esophageal hiatal hernia and gastro esophageal reflux disease history; (5) fetal distress; (6) anemia, pregnancy-induced hypertension, abnormal glucose metabolism, and others with pregnancy complications, and (7) using gastrointestinal stimulation drugs, antacids, anticholinergic drugs before surgery, (8) mental illness, serious heart, lung, liver, kidney, blood system disease.
Outcomes
Primary Outcomes
To compare the impact of optimization of pre operative fasting duration for liquids/clear fluids by introduction of educational pamphlets and checklists on perioperative haemodynamics and maternal satisfaction score using LIKERT scale in parturients undergoing elective LSCS.
Time Frame: Before Subarachnoid block, 1 minute, 2 minutes, 3 minutes, 4 minutes, 5 minutes, 6 minutes, 7 minutes, 8 minutes, 9 minutes, 10 minutes, 15 minutes,20 minutes, 25 minutes, 30 minutes, 35 minutes, 40 minutes, 45 minutes, 50 minutes, 55 minutes, 60 minutes, 75 minutes, 90 minutes, 105 minutes, 120 minutes, 135 minutes, 150 minutes, 165 minutes, 180 minutes
Secondary Outcomes
- 1. To evaluate the actual fasting duration for solids for parturients undergoing elective LSCS.(2. To compare the impact of decreasing fasting duration & intra operative vasopressor requirement.)
Investigators
Moksha Kanwar Sisodiya
Dr. SNMC JODHPUR