Gestational diabetes
Conditions
Interventions
The group that took oral carbohydrates before the operation (Group P):Take 200-300ml of carbohydrate beverage orally 2 hours before the operation.
The regular no-drinking and no-eating group (Group C):2 hours before the operation, take 200 - 300 ml of clear water orally
Sponsors
Peking University Shenzhen Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: 1.A pregnant woman with a singleton pregnancy who has been diagnosed with gestational diabetes (GDM); 2.The pregnant woman's age ranges from 18 to 45 years old. 3.The plan is to undergo an elective cesarean section under spinal anesthesia. 4.Pregnancy week of at least 37 weeks;
Exclusion criteria
Exclusion criteria: 1.Emergency cesarean section; 2.Undergo general anesthesia; 3.There is a history of gastric emptying disorder. 4.There are serious abno irmalitiesn the heart and lungs. 5.Having an autoimmune disease; 6.The fetus has severe deformities. 7.There is active infection. 8.Pre-pregnancy diabetes; 9.There are mental or psychological disorders that interfere with dietary compliance.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence rate of neonatal hypoglycemia; | — |
Secondary
| Measure | Time frame |
|---|---|
| Newborn: Severity of hypoglycemia (minimum blood sugar level), duration of hypoglycemia, proportion requiring intravenous glucose infusion,The proportion of intravenous glucose infusion, low Apgar sco;The incidence of postoperative nausea and vomiting;vIncidence of hypoglycemia (blood glucose < 3.3 mmol/L at any time point during the perioperative period); incidence of hyperglycemia (blood glucose = 7.8 mmol/L at any time point during the periopera;Hospitalization period;Postoperative VAS pain scores at 6 hours and 24 hours;Increase the dosage of opioid painkillers;Postoperative recovery indicators (time of first getting out of bed, time for intestinal function recovery (time of first passing gas and stool), incidence of postoperative nausea and vomiting);Quality of Recovery-15 (QoR-15) score at 24 hours postoperatively;Abnormal blood gas in the umbilical artery of newborns (pH value of umbilical artery blood gas in newborns is less than 7.2); | — |
Countries
China
Contacts
Public ContactXinhai Wu
Peking University Shenzhen Hospital
Outcome results
None listed