Comparison of moving the uterus manually versus placing a wedge under the buttocks along with rushing Iv fluids and leg wrapping to measure hypotension intra-operatively
Phase 3
- Conditions
- Health Condition 1: O742- Cardiac complications of anesthesia during labor and deliveryHealth Condition 2: O746- Other complications of spinal andepidural anesthesia during labor and delivery
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
Pregnant women with
1 age 18 years and above
2 with a singleton pregnancy
3 ASA status 2
4 with full term pregnancy
5 scheduled to undergo elective caesarean delivery
Exclusion Criteria
Pregnant women with any of these problems including
1 hypertensive disease of pregnancy
2 cardiac or cerebrovascular disease
3 BMI > 35 kg/m2
4 fetal prematurity
5 fetal abnormalities
6 not consenting for spinal anaesthesia
Withdraw Criteria:
1 patients who has excessive bleeding requiring additional uterotonics
2 need to convert from spinal anaesthesia to general anaesthesia
3 inadequate block height
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Incidence of hypotension between two groupsTimepoint: Blood pressure (BP) will be measured at 2 min intervals beginning immediately after <br/ ><br>spinal injection till baby delivery and at 5 minutes interval after baby delivery for 60 minutes.
- Secondary Outcome Measures
Name Time Method The frequency of administering 3 mg bolus of Inj. Mephentermine <br/ ><br>between two groupsTimepoint: Post spinal hypotension (defined as drop in systolic blood pressure more than 20% from baseline) will be treated with 3 mg of Inj.Mephentermine. This will be repeated after every BP recording until systolic blood pressure returns to baseline value.