Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Scheduled for elective lower segment caesarean section (LSCS) under spinal anaesthesia 2. Willing to provide written informed consent 3. ASA physical status II or III 4. Singleton pregnancy at term (more than equal to 37 weeks gestation)
Exclusion criteria
Exclusion criteria: 1. Known hypersensitivity to phenylephrine 2. Contraindications to spinal anaesthesia (e.g.coagulopathy, infection at injection site, severe hypovolemia) 3. High-risk pregnancies (e.g., preeclampsia, eclampsia, placenta previa, major fetal anomalies) 4. BMI more than 35 kg/m (if you plan to exclude morbidly obese patients) 5.Emergency LSCS cases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of post-spinal hypotension ( less than 20 percent from baseline)Timepoint: From spinal anaesthesia to delivery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1Total vasopressor dose, maternal bradycardia, nausea/vomiting, and neonatal Apgar scores at 1 and 5 minutes.Timepoint: From spinal anesthesia to delivery for maternal outcomes, APGAR Score assessed at 1 minute and 5 minutes after birth | — |
Countries
India
Contacts
SMS medical college and hospital