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Effect of preoperative oral carbohydrate loading in elective caesarean patients under spinal anaesthesia

Effect of Preoperative Oral Carbohydrate Loading on Insulin Resistance Assessed using HOMA -IR in Elective Lower Segment Cesarean Section Patients done under Spinal Anesthesia - A Randomized Prospective Parallel Arm Double Blinded Controlled Trial - Nil

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/04/084327
Enrollment
60
Registered
2025-04-07
Start date
Unknown
Completion date
Unknown
Last updated
2025-04-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O82- Encounter for cesarean delivery without indication Health Condition 2: O94-O9A- Other obstetric conditions, not elsewhere classified

Interventions

Intervention1: Carbohydrate drink: Giving carbohydrate load 2 hours prior to surgery for pregnant patient posted for elective LSCS, Surgicab (lifecare (bioscience))- carbohydrate drink of 355ml contai

Sponsors

Dr Hariharan
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Singleton term gestation Uncomplicated pregnancy - patients scheduled for an elective cesarean delivery - planned under spinal anesthesia (ASA II).

Exclusion criteria

Exclusion criteria: Patient not willing for study ASA 3 and above

Design outcomes

Primary

MeasureTime frame
The primary outcome will be pregnant women perioperative insulin resistance will be evaluated by the homeostatic model assessment of insulin resistance (HOMA-IR) indexTimepoint: 2nd day of POD

Secondary

MeasureTime frame
Gastric volume assessments will be done before spinal anaesthesia, in order to assess the gastric content prior to anaesthesia done by separate experienced anaesthesiologist. Neonatal indices regarding the well-being of the newborn were recorded from medical records, including one-minute & five-minute APGAR scores recorded at delivery Neonatal Capillary blood glucose level will be measured on heel within 20 min after delivery Time of flatus passed will be noted. Duration of hospital stay - from completion of caesarean section to time of discharge in hours Intra- or postoperative nausea & vomiting were asked for 24 hours - the Wengritzky ScaleTimepoint: Gastric volume before surgery Wengritzky scale post surgery 24 hours

Countries

India

Contacts

Public ContactHariharan ps

A4 Hospital and Fertility centre

drhariharan@a4fertility.com9443371594

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026