Intraoperative fluid therapy, maternal and neonatal acid- base state, elective cesarean delivery.
Conditions
Interventions
Intervention 1: Intervention group: In 24 pregnant women, infusion of lactate ringer serum with dose of volume therapy rule(Deficit+ Maintenance+ Loss+ Third space+ Compensated volume expansion) will
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Term parturient (pregnancy age more than 37 weeks) with physical status II ASA class candidates for elective cesarean section with spinal anesthesia Age range 18 to 45 years old In Tabriz Alzahra hospital Informed consent
Exclusion criteria
Exclusion criteria: Any contraindication of regional anesthesia Gestational hypertension, preeclampsia, eclampsia, HELLP syndrome Hypersensitivity to local anesthetics Morbid obesity Maternal co-existing disease such as a history of heart disease, pulmonary, liver and kidney disease Emergency cesarean section like fetal bradycardia, placenta previa or other conditions of peripartum hemorrhage
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal acid- base state during elective cesarean. Timepoint: In operating room before the spinal anesthesia and after surgery (in recovery), an arterial blood sample will be analyzed for arterial blood gases (ABG). Method of measurement: In the ABG sample, the factors PH, HCO3, Base Excess, PCO2, Po2, Hb, Hct will be analyzed and will be recorded in the checklist for this purpose. | — |
Secondary
| Measure | Time frame |
|---|---|
| Neonatal acid- base state during elective cesarean. Timepoint: Immediately after delivery and the umbilical cord closure, an umbilical artery blood sample will be sent for analysis of arterial blood gas (ABG). Method of measurement: In the ABG sample, the factors PH, HCO3, Base Excess, PCO2, Po2, Hb, Hct will be analyzed and will be recorded in the checklist for this purpose. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactReyhaneh Abri
Tabriz University of Medical Sciences
Outcome results
None listed