Health Condition 1: null- Pregnant patients posted for cesarean section
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. pregnant patients posted for LSCS (Elective/Emergency) 2. Age >18yrs 3. Singleton term pregnancy 4. Planned spinal anesthesia 5. Fulfilling ASA I or II criteria 6. Hb>=10 gm%
Exclusion criteria
Exclusion criteria: 1. Placenta previa, PIH 2. Coagulopathies/thrombocytopenia/ on anticoagulants 3. History of previous obstetric hemorrhage 4. Grand multiparity, Fibroid uterus, hydramnios 5. Severe systemic disease 6. Failure of spinal anesthesia/conversion to GA 7. Traumatic hemorrhage during CS
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Estimated blood loss 2. Need for additional uterotonic agents 3. Hemodynamic changes (PR, BP, HR, SpO2) 4. Side effects (headache, vomiting, chest pain) Timepoint: Time point of 48 hrs for blood loss estimation Time point for hemodynamic changes BP, PR, MAP, sPO2 per- operative every 2 min for 10 min after oxytocin bolus and every 5 min for rest of LSCS; post-operatively every 15 min for one hour, and every 30 min for next 3 hours. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time from cord clamping to uterine hardening 2. Need for blood transfusion within 24 hrs of LSCS.Timepoint: Time point for blood transfusion is 24 hrs | — |
Countries
India
Contacts
V.M.M.C. and Safdarjung Hospital