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Maternal Hypotension During Cesarean Section and Short Term Neonatal Outcome.

Terminated
Conditions
Elective Cesarean Section
Maternal Hypotention
Registration Number
NCT00330512
Lead Sponsor
Sheba Medical Center
Brief Summary

About 20-25% of deliveries are by cesarean section. Most are elective with use of regional anesthesia (spinal/epidural). Drop of blood pressure after regional anesthesia is common. It have the risk of reduction of blood flow to the placenta and the fetus.

No studies had followed the newborns their first days of live,of mothers who developed hypotension in durins CS.

Detailed Description

A reterospective study of all full term babies, born in elective cesarean section with use of regional anesthesia. Two groups will be define rgarding maternal hypotention following regional anesthesia - maternal hypotention (study group) or normal maternal BP. The definition of Maternal hypotension: decrease in 10% or more in mean BP in compared to first BP taken at admition.

Data will colect from mothers and neonates records as well as operation data. Maternal data: gravida, parity, diseases, medications, demographics, and all data regarding the operation (blood pressures, Heart rates, saturation, treatment given etc.).

Infant data: gestational age, birth weight, sex, Apgar, cord pH, clinical manifestations, medications, time of hospitalization.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
500
Inclusion Criteria
  • fullterm infants, born by elective cesarean section using regional anasthesia.
Exclusion Criteria
  • preterms, urgent CS, CS using general anasthesia, Multiple pregnancy, Congenital malformations.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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