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Testing whether adding dexamethasone to mephentermine helps prevent low blood pressure during spinal anaesthesia in mothers having a caesarean birth

Comparative efficacy of prophylactic intravenous dexamethasone and mephentermine versus mephentermine alone on the incidence of spinal anaesthesia mediated hypotension in parturients undergoing caesarean section - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/09/095186
Enrollment
170
Registered
2025-09-22
Start date
Unknown
Completion date
Unknown
Last updated
2025-10-13

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

Conditions

Health Condition 1: O746- Other complications of spinal andepidural anesthesia during labor and delivery

Interventions

Intervention1: Intravenous dexamethasone: Patients will receive intravenous dexamethasone 8mg in 10ml saline over 1 minute in preoperative area 15 minutes prior to subarachnoid block Control Intervent

Sponsors

Dr Nisha Sangwan
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Pregnant women ASA PS 2, singleton pregnancy with gestational age more than 37 weeks scheduled for elective cesarean delivery under spinal anaesthesia

Exclusion criteria

Exclusion criteria: Patients with history suggestive of gestational or chronic diabetes and hypertensive disorders of pregnancy Recent intake of steroids BMI of more than 35 kg/m 2 Previous 2 caesarean section History of allergy to the study drugs Any contraindication to regional anaesthesia

Design outcomes

Primary

MeasureTime frame
To evaluate and compare the incidence of spinal anaesthesia mediated hypotension in parturients receiving prophylactic intravenous dexamethasone and mephentermine versus mephentermine aloneTimepoint: Till 20 minutes after spinal anaesthesia

Secondary

MeasureTime frame
Haemodynamic parameters like heart rate and systolic blood pressureTimepoint: At baseline, every 2 minutes and 20 minutes after spinal anaesthesia and then at every 5 minute;Time to achieve T6 level of blockTimepoint: ;Total dose of mephentermine(mg) administeredTimepoint: ;Time to first rescue mephentermine bolusTimepoint: ;Neonatal Apgar scoreTimepoint: At 1 minute and 5 minutes

Countries

India

Contacts

Public ContactDr Rashmi Virmani

Esic medical college and hospital

rashmi.virmani@gmail.com

Outcome results

None listed

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