Health Condition 1: O169- Unspecified maternal hypertension,unspecified trimester
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women with hypertensive disorders of pregnancy aged 18 – 45 years at or beyond 37 weeks of gestation undergoing emergency cesarean delivery.
Exclusion criteria
Exclusion criteria: 1. Renal dysfunction with serum Creatinine > 1.0 mg/dl 2.Known history of maternal cardiac disease, including arrhythmia, ischemic, and congenital cardiac disease 3. Treatment with digoxin within the last 2 weeks 4. Pre-existing bleeding disorders/ established DIC 5. Patient with pulmonary edema 6. Patients with chronic hypertension and chronic hypertension with superimposed preeclampsia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study the efficacy of prophylactic intravenous calcium gluconate compared to placebo on postpartum blood loss in women with hypertensive disorders of pregnancy at term geastation undergoing emergency caesarean delivery. Timepoint: Intraoperative blood loss at the end of surgery and upto 2 hours post delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To study the efficacy of prophylactic intravenous calcium gluconate compared to normal saline infusion on : 1.Incidence of PPH 2.Maternal hemodynamic status 3.Uterine tone 4.Need for additional uterotonic agents (methylergometrine/ prostaglandins F2alfa/E1) 5.Need for blood transfusions 6.Need for inotropic requirement 7.Need for other surgical interventions for management of PPH 2. To study the effect of prophylactic intravenous calcium gluconate infusions on maternal hemoglobin pre and post intervention. Timepoint: 2 HOURS POST PARTUM | — |
Countries
India
Contacts
Jawaharlal Institute of Postgraduate Medical Education and Research