Health Condition 1: O82- Encounter for cesarean delivery without indication Health Condition 2: O82- Encounter for cesarean delivery without indication
Conditions
Interventions
Intervention1: plain hyperbaric bupivacaine: 12 mg of hyperbaric bupivacaine will be administered intrathecally, once before caesarean section.
Control Intervention1: clonidine with bupivacaine hyperb
Sponsors
bangalore baptist hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. Previous LSCS. 2. Cephalo-pelvic disproportion 3. Failure of progression of labour. 4. Abnormal foetal presentation
Exclusion criteria
Exclusion criteria: 1. Patients refusal to participate 2. Pregnancy induced hypertension 3. Placenta previa. 4. Antenatal patients with acute fetal distress. 5. Abnormal coagulation profile
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary objective: To compare the duration of sensory block, motor block and analgesia in hyperbaric bupivacaine versus hyperbaric bupivacaine with clonidine as additive in lower segment caesarean sections. Timepoint: to compare onset and duration of sensory block,motor block and analgesia every 5 mins till end of surgery, then every 15 mins till first dose of rescue analgesia | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Comparison of regression of motor block to modified Bromage scale 0 2. Comparison of duration of pain relief (first request for supplemental analgesia), hemodynamic variables and sedation. 3. Comparison of Apgar score of the babies at 1, 5 and 10 minutes (neonatal outcome). Timepoint: every 15 mins pain score assessed using visual analogue score till dose of first rescue analgesia. | — |
Countries
India
Contacts
Public ContactSwati Sujeer
bangalore baptist hospital
Outcome results
None listed