Health Condition 1: O00-O9A- Pregnancy, childbirth and the puerperium
Conditions
Interventions
Intervention1: Fasting Duration Of Upto 2 Hours For Clear Liquid: In Group A parturient will be kept preoperative fasting according to ISA guidelines up to 2 hours for clear liquids strictly
Control I
Sponsors
Dr S N Medical College Jodhpur
Eligibility
Inclusion criteria
Inclusion criteria: All pregnant female of age between 20 â?? 35 years with more than 37 weeks of singleton pregnancy of ASA physical status of grade â?? II only. Undergoing elective LSCS under spinal anaesthesia will be included
Exclusion criteria
Exclusion criteria: Patient excluded from this study if they are refusing for being part of the study, having known hypersensitivity to local anesthetic agent, already having infection at the site of injection. Existing clinical history suggestive of peripheral neuropathy or neurological deficit or psychiatric disease, coagulopathy or patients taking anticoagulants, Anemia ( Hb less than 7 gm/dl), PIH (pregnancy induced hypertension), diabetes mellitus established before or during the pregnancy, Anatomical abnormalities. Existing cardiac diseases, any placental abnormalities like placenta accreta, placenta previa, etc., eclampsia or pre-eclampsia, autoimmune diseases. Patients with failed SAB (sub arachnoid block). patients having existing any esophageal hiatal hernia, or history of GERD (gastro esophageal reflux disease). Condition of fetal distress, ASA grade 3 or 4, any patient having fasting duration between 2 â?? 6 hours. All above patients will be excluded from the study according to this exclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To compare the occurrence of perioperative hypotension between a group of parturient undergoing elective LSCS having a fasting duration of â?¥ 6 hours to the group of parturient having fasting duration up to 2 hours for clear liquids. To determine the number of episodes of hypotension in two groups. 2. To determine the intraoperative fluid requirement in two groups. 3. To determine the cumulative dose of vasopressor (Ephedrine & Phenylephrine) requirement in two groups. Timepoint: Maternal NIBP HR and SPO2 will be recorded at 1 min for the first 10 minutes and then at 5 minutes intervals until the end of surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the post operative nausea vomiting. To determine occurrence of hypoglycemia. Mothers satisfaction score and overall experience after 24 hours post cesarean section.Timepoint: Hypoglycemia 30 Minutes Mother Satisfaction Score 24 Hours | — |
Countries
India
Contacts
Public ContactVinesh Kumar
Dr S N Medical College Jodhpur
Outcome results
None listed