Health Condition 1: O244- Gestational diabetes mellitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA class 2 and 3, Gestational age greater than or equal to 37 weeks, Parturient who are undergoing elective or emergency LSCS under spinal anaesthesia, GDM diagnosed according to RCOG criteria for GDM group, Non diabetic parturients with normal glucose tolerance for control group
Exclusion criteria
Exclusion criteria: Lack of consent, Parturients with significant comorbidities other than GDM, Parturient who undergoing general anaesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of sensory and motor block characteristics following spinal anesthesia, including onset time, highest sensory block level, duration of sensory block regression to S2 dermatome, onset of motor block, and duration of motor block, recovery to Modified Bromage Scale Grade 0.Timepoint: Assessed from intrathecal injection until complete recovery of sensory block regression to S2 dermatome and motor block, Modified Bromage Scale Grade 0, with assessments at 3, 5, 10, 15, 30, 45, 60, 75, 90, and 105 minutes after spinal anesthesia, and continued postoperatively until complete block regression. | — |
Secondary
| Measure | Time frame |
|---|---|
| Perioperative hemodynamic stability heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, and Saturation, time to first postoperative analgesic requirement, and their association with block characteristics and clinical variables like BMI, glycemic control modality, and duration of surgery.Timepoint: Assessed from baseline before spinal anesthesia at 3, 5, 10, 15, 30, 45, 60, 75, 90, and 105 minutes after intrathecal injection, at the end of surgery, and continued postoperatively until the first analgesic requirement and complete sensory and motor block regression. | — |
Countries
India
Contacts
SRM School of Allied Health Sciences