A study to show the effectiveness of giving a drug vasopressor before hand to prevent the fall in blood presssure following injection through lower back in cesarean sections.

Not Applicable

Conditions: Health Condition 1: 1- Obstetrics

Registration Number: CTRI/2021/06/034138

Lead Sponsor: Office of principal Midnapore medical college and hospital

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: ot Yet Recruiting

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

1.All ASA criteria I and II

2.The patients giving valid consent

3.Elective LSCS

4.Patients age 18 to 35 years

5.Term Singleton pregnancy

Exclusion Criteria

1.Patientsâ?? refusal to take part in the study.

2.Patients with co-morbidity of cardiovascular system, respiratory system, Neurological and hepatic renal disorders.

3.Patients with contraindications to spinal anesthesia like local site infection, coagulation disorders.

4.Patients with obstetric complication like breech presentation,pregnancy induced hypertension, gestational diabetes mellitus,HELLP syndrome and other coagulation and auto immune disorders

5.Patients with neonatal compromise like fetal bradycardia , meconium stained liquor ,IUGR.

6.Failed spinal , repeat spinal , patchy spinal , conversion to General anesthesia at any moment of surgery is excluded from study.

7.Patient with history of allergy to study drugs.

8.Height < 140 cm and >180cm.

9.Weight <50kg and >100kg.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1.To monitor and record haemodynamic parameters like Systolic blood pressure,Diastolic blood pressure,Mean arterial pressure and heart rate at specified time intervals and compare between study. <br/ ><br>2.To record the number of hypotension episodes in both groups.Timepoint: Non invasive BP monitoring started after intrathecal injection set at one minute time interval until delivery and followed by 3 minutes interval after delivery till the completion. The time of first episode of hypotension noted if it occurred

Secondary Outcome Measures

Name	Time	Method
Incidence of Tachycardia, hypertension, bradycardia, intra operative nausea and vomiting, other complications and comparision of neonatal apgar scores and umbilical cord blood analysisTimepoint: 1 min interval from start of intraoperative period to baby delivery and 3 minutes intervals till end of operation. Apgar score will be taken at 1 minute and 5 minutes of baby delivery