Health Condition 1: O369- Maternal care for fetal problem, unspecified Health Condition 2: null- Pregnant women
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: American Society of Anesthesiologists (ASA) grade I and II Age >18 years Single gestation Parturient requiring cesarean delivery for -fetal tachycardia 161-180 bpm ,fetal bradycardia 100-109 bpm, variability (bpm)
Exclusion criteria
Exclusion criteria: Patient refusal Fetal causes-Prematurity, any known fetal abnormality Any contraindication to regional anesthesia Body mass index >45 kg/M2 Parturient requiring cesarean delivery with indication of immediate threat to life of women or fetus with no time for placement of spinal anesthesia. Vasospastic arterial disease, previous arterial injury Thrombocytosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal and newborn plasma levels of Malondialdehyde (MDA) and total antioxidant statusTimepoint: Maternal plasma levels of Malondialdehyde (MDA) and total antioxidant status - arterial sample before spinal block to mother and then every 5 minutes till delivery of baby( means at 4-5 sample ) New born plasma levels of Malondialdehyde (MDA) and total antioxidant status - only one sample immediately after birth | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Maternal blood gas analysis 2. Fetal blood gas analysis 3.Haemodynamics 4.Maternal adverse effects- nausea ,vomiting etc 5.Newborn resuscitaion and follow up Timepoint: 1. baseline and then every 5 minutes till delivery of baby 2.only one sample at birth 3.baseline and then every 5 minutes till delivery of baby 4.During baseline till delivery of baby 5.At birth and at 24 hours | — |
Countries
India
Contacts
Government Medical College and Hospital