Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: SINGLETON,ASA2,TERM GESTATION,POSTED FOR ELECTIVE CESAREANA SECTION
Exclusion criteria
Exclusion criteria: i. Less than 18 years of age ii. ASA grade 3& 4 iii. More than 35 years age iv. Having 2 lower segment cesarean section previously v. Having systolic blood pressure more than 140 mm hg or diastolic blood pressure more than 90mm hg pre operatively vi. On anti hypertensive medication vii. Gestational diabetes mellitus viii. Twin or multi foetal pregnancy ix. Refusing to give consent x. Contraindication to spinal or epidural xi. Patients having severe pallor xii. Foetal malformation or mal presentation xiii. Drug allergy to study drugs xiv. Foetal Bradycardia xv. Impending rupture xvi. Heart disease xvii. Ante partum haemorrhage
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of maternal hypotension in sitting and lateral position and comparison of anaesthetic quality during combined spinal epidural anaesthesia in elective cesarean sectionTimepoint: baseline that is before combined spinal epidural anaesthesia, then every 2minutes till delivery of baby afterwards every 3 minutes til completion of cesarean section | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To Compare the block characteristics A. Sensory B. Motor blocks in sitting and lateral position during Combined spinal epidural anaesthesia in caesarean section 2. To observe neonatal parameters in both groups 3. Umbilical artery blood gas analysis of baby in both groupsTimepoint: 1.maternal block characteristics ,baseline ,every 5min till adequate block is achieved 2.neonatal parameters,apgar score 1 and 5 min 3.Umbilical PH values after birth | — |
Countries
India
Contacts
Midnapore medical college and hospital