Prevention Of Maternal Hypotension (fall in blood pressure) During Lower Segment Caesarean Section(Childbirth by surgical intervention) Following Spinal Anaesthesia By Intravenous fluid Coloading With Ringer Lactate
Not Applicable
Completed
- Conditions
- Health Condition 1: 1- Obstetrics
- Registration Number
- CTRI/2023/01/049010
- Lead Sponsor
- VCSGGMS and RI Srikot Srinagar Garhwal Uttarakhand
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 68
Inclusion Criteria
American Society of Anaesthesiologists grade II patient undergoing elective Lower Section Caesarean Section under spinal anaesthesia
Exclusion Criteria
-Haemoglobin <10g/dl
-Pregnancy induced hypertension
-Perioperative complication such as delayed
delivery of baby, intraoperative bleeding.
-Twin pregnancy
-Hypothyroidism and hyperthyroidism
-Patient with cardiac disease
-Gestational diabetes mellitus
-Spinal to delivery time more than 15 minutes
-Partial effect of spinal anaesthesia (2nd dose)
- Antipartum haemorrhage
-Fetal distress
-Patient height less than 5 feet
-Weight less than 40 kg
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare Incidence and severity of maternal hypotension in patient undergoing elective LSCS under spinal anesthesia with inj ringer lactate coloading in dose of 20ml/kg with 16 g intravenous cannula (flow rate 180 ml/minute) in comparison to 18 g intravenous cannula with flow rate of 90 ml/minutes. <br/ ><br>Timepoint: Effect of inj ringer lactate coloading intervention on spinal hypotension following spinal anaesthesia from 1min to 30 min following spinal anaesthesia in patient undergoing LSCS <br/ ><br>
- Secondary Outcome Measures
Name Time Method a)Use of vasopressors/anticholinergics to prevent maternal hypotension following spinal anaesthesia with crystalloid fluid coloading <br/ ><br>b)Incidence of nausea and vomiting <br/ ><br>c)APGAR score of neonates <br/ ><br>Timepoint: Effect of intervention on spinal hypotension from 1 min to 30 min following spinal anaesthesia in patient undergoing LSCS