Health Condition 1: null- Women undergoing caesarean delivery having mild to moderate valvular heart disease
Conditions
Interventions
None listed
Sponsors
Department of Anaesthesia and Intensive Care PGIMER
Eligibility
Inclusion criteria
Inclusion criteria: 1)Mild/moderate mitral stenosis: Mitral valve area >= 1cm2,mean pressure gradient across mitral valve 2)Mild/moderate aortic stenosis: Peak systolic pressure gradient across aortic valve 50%, New York Heart Association (NYHA)functional classificationâ?? Class I and Class II
Exclusion criteria
Exclusion criteria: 1)Severe mitral stenosis with mitral valve area 2)Severe aortic stenosis with peak gradient of >65mmHg, ejection fraction 3)Any valvular lesion with NYHA functional class III/IV, pulmonary edema, atrial fibrillation with ventricular rate >100/ min, ejection fraction 4)Anemia with Hb
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of maternal hypotension before delivery of babyTimepoint: before delivery of baby | — |
Secondary
| Measure | Time frame |
|---|---|
| Before delivery of baby 1. Duration of maternal hypotension 2. Cumulative dose of phenylepherine administered 3. Characteristics of spinal block Following delivery of baby: 1. Maternal haemodynamics following IV oxytocin. 2. Maternal adverse events like nausea/vomiting 3. Immediate neonatal outcome using Apgar score, umbilical artery pH and base deficit, need for neonatal resuscitationTimepoint: before and after delivery of baby | — |
Countries
India
Contacts
Public ContactKajal Jain
Post Graduate Institute of Medical Education and Research
Outcome results
None listed