Health Condition 1: null- Pregnant patients for Caesarean delivery
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Healthy parturients (ASA physical status I and II) posted for elective caesarean delivery under spinal anaesthesia
Exclusion criteria
Exclusion criteria: 1. ASA physical status III and IV 2. Refuse spinal anaesthesia 3. Have history of known drug allergy 4. Any contraindication to spinal anaesthesia (infection at the needle insertion site, spinal deformity, coagulation disorders) 5. Patients in whom spinal anaesthesia is inadequate for conduct of surgery will be excluded from the study 6. Patients with emergent caesarean delivery for fetal distress and obstetric complications like placenta previa, or placental abruption or cord prolapse 7. Patients with hypovolemia due to any cause and systolic blood pressure (SBP) less than 100 mmHg at the time of induction 8. Patients with known fetal abnormality detected antenatally
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in umbilical arterial acid base balance with the use of different vasopressor used for treating hypotension during spinal anaesthesia in elective caesarean delivery.Timepoint: Immediately after delivery of the baby | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Maternal haemodynamics (number of episodes of hypotension, hypertension and bradycardia) 2. Total dose and number of boluses of either drug required to maintain systolic blood pressure 3. Incidence of maternal nausea and vomiting 4. Neonatal outcome Apgar score Development of hypoxic ischaemic encephalopathy (HIE) Timepoint: 2 min and 5 min till the end of surgery | — |
Countries
India
Contacts
Lady Hardinge Medical College