Health Condition 1: null- This study will be conducted in normotensive parturients undergoing non-elective cesarean delivery under subarachnoid block
Conditions
Interventions
Intervention1: nil: nil
Control Intervention1: nil: nil
Sponsors
PGIMER
Eligibility
Inclusion criteria
Inclusion criteria: this prospective observational study will be conducted in 100 women with singleton pregnancy and normal blood pressure admitted to the institute and coming for non-elective cesarean section
Exclusion criteria
Exclusion criteria: exclusion criteria will be: - Pre-eclampsia or eclampsia - Placenta praevia - Previous cesarean delivery - Pre-existing heart disease, liver or renal disorders - Pre-existing or gestational diabetes mellitus - Presence of coagulation abnormalities - Presence of hyperuricaemia before pregnancy - Twin pregnancy - Patients undergoing cesarean delivery under general anaesthesia - Patients demanding labor analgesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1 Incidence of post spinal hypotension as determined by total vasopressor used to keep systolic blood pressure more than 100 mmHg or to prevent a fall of more than 20% in MAP.Timepoint: Intraoperative period | — |
Secondary
| Measure | Time frame |
|---|---|
| 2.Use of supplemental uterotonics required to maintain a tonus uterus. (Satisfactory(score more than 7) or unsatisfactory(score less than or equal to 7) as rated by the obstetrician using Duttaâ??s scoring system.) 3.Estimation of blood loss measured as a fall in the pre and postpartum haematocrit of more than 30%. 4.Short term neonatal outcome: Cord gases,1,5 minute Apgar scores, need for neonatal resuscitation. Timepoint: intraoperative and immediate postoperative period | — |
Countries
India
Contacts
Public ContactDr Nidhi Bhatia
Department of Anesthesia and Intensive Care PGIMER Chandigarh
Outcome results
None listed