Health Condition 1: null- pregnant Women for cesarean section
Conditions
Interventions
Intervention1: spinal anaesthesia in sitting position: women for cesarean section will be randomized to receive spinal anaesthesia in sitting position as per Hartens dose chart
Intervention2: SPINAL A
Sponsors
Govt of Himachal Pradesh
Eligibility
Inclusion criteria
Inclusion criteria: • Singleton pregnancy • Age 18-45 years • Woman for cesarean section as per obstetrical indication • Period of gestation between 36 to 41 weeks
Exclusion criteria
Exclusion criteria: • twin pregnancy • severe pre-eclampsia/ HELLP syndrome • Co-agulopathy • Abruptio placentae • Intra-uterine fetal death/Malformed fetus • Uncontrolled diabetes mellitus • Chorio-amniotis • Known case of thrombophilia • Known case of chronic Renal or liver disease • previous classical caesarean section/ hysterotomy • previous uterine surgery other than caesarean section (myomectomy, hysterotomy, polypectomy, lysis of uterine synechia, or hysteroscopic metroplasty) • women who do not achieve sensory level T6 or Bromage score 3, 15 minutes after intrathecal injection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is comparison of fall in blood pressure in two groups.Timepoint: from intra-thecal injection to two hours after completion of surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢ Lowest recorded systolic BP â?¢ Lowest recorded Mean Arterial Pressure (MAP) â?¢ Onset of hypotension (20% fall in systolic BP or 90 mm Hg) â?¢ Use of phenylephrine â?¢ Upper sensory level â?¢ Time to achieve sensory level T6 Timepoint: from intra-thecal injection to two hours after completion of surgery | — |
Countries
India
Contacts
Public ContactChanderdeep Sharma
Dr RPGMC Kangra
Outcome results
None listed