Health Condition 1: O721- Other immediate postpartum hemorrhage
Conditions
Interventions
Intervention1: Calcium gluconate: 1 gram of calcium gluconate diluted with NS to a total volume of 50 ml delivered via infusion pump at rate of 300 ml/hr over 10 mins after clamping of cord via intra
Sponsors
Jawaharlal Institute of Postgraduate Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: emergency cesarean delivery under spinal anaesthesia.
Exclusion criteria
Exclusion criteria: 1.Patients with hypercalcemia. 2.Patients with preeclampsia on magnesium sulphate or calcium channel blockers 3.Patients with obstetric conditions like placenta previa and abruption. 4. Renal dysfunction with serum Creatinine > 1.0 mg/dl. 5. Patients with abnormal cardiac function or history of arrhythmia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the effect of intravenous calcium administration on uterine tone which will be asssessed by the obstetrician based on numerical scale score (0-completely atonic 10-fully contracted)among women undergoing cesarean delivery under spinal anaesthesia. Timepoint: 0,5,10,15,20 mins ater clamping of cord | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the intraoperative blood loss, need for additional uterotonic requirements(methylergometrine, prostaglandin F2a, Prostagalndin E1 etc),mechanical surgical interventions (uterine balloon, B-lynch sutures etc), total fluid, vasopressors,total oxytocin bolus, transfusion requirements between the two groups. Timepoint: At the end of surgery | — |
Countries
India
Contacts
Public ContactDr Abirami T L
Jawaharlal Institute of Postgraduate Medical Education and Research
Outcome results
None listed