Relationship between fasting duration and hypotension in pregnant female during caesarean section.
- Conditions
- Health Condition 1: O00-O9A- Pregnancy, childbirth and the puerperium
- Registration Number
- CTRI/2022/07/043695
- Lead Sponsor
- Dr S N Medical College Jodhpur
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
All pregnant female of age between 20 â?? 35 years with more than 37 weeks of singleton pregnancy of ASA physical status of grade â?? II only. Undergoing elective LSCS under spinal anaesthesia will be included
Patient excluded from this study if they are refusing for being part of the study, having known hypersensitivity to local anesthetic agent, already having infection at the site of injection. Existing clinical history suggestive of peripheral neuropathy or neurological deficit or psychiatric disease, coagulopathy or patients taking anticoagulants, Anemia ( Hb less than 7 gm/dl), PIH (pregnancy induced hypertension), diabetes mellitus established before or during the pregnancy, Anatomical abnormalities.
Existing cardiac diseases, any placental abnormalities like placenta accreta, placenta previa, etc., eclampsia or pre-eclampsia, autoimmune diseases. Patients with failed SAB (sub arachnoid block). patients having existing any esophageal hiatal hernia, or history of GERD (gastro esophageal reflux disease). Condition of fetal distress, ASA grade 3 or 4, any patient having fasting duration between 2 â?? 6 hours. All above patients will be excluded from the study according to this exclusion criteria
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1.To compare the occurrence of perioperative hypotension between a group of parturient undergoing elective LSCS having a fasting duration of â?¥ 6 hours to the group of parturient having fasting duration up to 2 hours for clear liquids. To determine the number of episodes of hypotension in two groups. <br/ ><br>2.To determine the intraoperative fluid requirement in two groups. <br/ ><br>3.To determine the cumulative dose of vasopressor (Ephedrine & Phenylephrine) requirement in two groups. <br/ ><br>Timepoint: Maternal NIBP HR and SPO2 will be recorded at 1 min for the first 10 minutes and then at 5 minutes intervals until the end of surgery.
- Secondary Outcome Measures
Name Time Method To determine the post operative nausea vomiting. To determine occurrence of hypoglycemia. Mothers satisfaction score and overall experience after 24 hours post cesarean section.Timepoint: Hypoglycemia 30 Minutes Mother Satisfaction Score 24 Hours