Health Condition 1: I959- Hypotension, unspecified
Conditions
Interventions
Intervention1: Nil: Nil
Control Intervention1: Nil: Nil
Sponsors
SRM Institute of Science and Technology
Eligibility
Inclusion criteria
Inclusion criteria: 1.Term singleton pregnancy (greaterthan 37 weeks) 2.Age 18 to 40 years 3.ASA physical status I or II 4.Scheduled for caesarean section under spinal anaesthesia
Exclusion criteria
Exclusion criteria: 1.Multiple gestation 2.Known cardiovascular or renal disorders 3.Contraindications to spinal anaesthesia [infection at the site of injection, patient on anticoagulants, patient with psychiatric illness] 4.Use of vasoactive medications 5.Intraoperative blood loss greater than 1000 mL 6.Pre-eclampsia or gestational hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The study is expected to show that maternal BMI influences hemodynamic stability during caesarean section under spinal anesthesia, with co-loading of intravenous fluids providing better blood pressure stability and reduced hypotension, particularly in women with higher BMI, thereby supporting BMI-based fluid management to improve maternal safety.Timepoint: Hemodynamic parameters (HR, SBP, DBP, MAP) will be recorded at baseline, immediately after spinal anesthesia (0 min), at 2, 4, 6, 8, 10, 15, 20, 25, and 30 minutes intraoperatively. Maternal hypotension will be monitored from spinal anesthesia until 30 minutes. Vasopressors use and total intravenous fluid administered will be recorded until the end of surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| NilTimepoint: Nil | — |
Countries
India
Contacts
Public ContactNidamanuri Sumasri
SRM Institute of Science and Technology
Outcome results
None listed