Health Condition 1: O742- Cardiac complications of anesthesia during labor and delivery Health Condition 2: O746- Other complications of spinal andepidural anesthesia during labor and delivery
Conditions
Interventions
Intervention1: Manual Uterine Displacement: Manual uterine displacement of uterus to the left will be accomplished in two simple steps. Standing at the head end of the patient, the attending anaesthes
Sponsors
Mahatma Gandhi Medical College and research Institute
Eligibility
Inclusion criteria
Inclusion criteria: Pregnant women with 1 age 18 years and above 2 with a singleton pregnancy 3 ASA status 2 4 with full term pregnancy 5 scheduled to undergo elective caesarean delivery
Exclusion criteria
Exclusion criteria: Pregnant women with any of these problems including 1 hypertensive disease of pregnancy 2 cardiac or cerebrovascular disease 3 BMI > 35 kg/m2 4 fetal prematurity 5 fetal abnormalities 6 not consenting for spinal anaesthesia Withdraw Criteria: 1 patients who has excessive bleeding requiring additional uterotonics 2 need to convert from spinal anaesthesia to general anaesthesia 3 inadequate block height
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of hypotension between two groupsTimepoint: Blood pressure (BP) will be measured at 2 min intervals beginning immediately after spinal injection till baby delivery and at 5 minutes interval after baby delivery for 60 minutes. | — |
Secondary
| Measure | Time frame |
|---|---|
| The frequency of administering 3 mg bolus of Inj. Mephentermine between two groupsTimepoint: Post spinal hypotension (defined as drop in systolic blood pressure more than 20% from baseline) will be treated with 3 mg of Inj.Mephentermine. This will be repeated after every BP recording until systolic blood pressure returns to baseline value. | — |
Countries
India
Contacts
Public ContactABRU PAUL
Mahatma Gandhi Medical College and Research Institute
Outcome results
None listed