Hypotension and bradycardia following injection of spinal anesthesia.
Conditions
Interventions
Intervention 1: Intervention group : Epinephrine is injected at a dose of 4 micrograms bolus until the mother reaches systolic blood pressure of more than 100 mm Hg. Intervention 2: control group :Int
Sponsors
Karaj University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
20 Years to 40 Years
Inclusion criteria
Inclusion criteria: Consent to participate in the study Pregnant women 40-20 years old in ASA2 class Gestational age 40-36 weeks A drop in blood pressure of more than 20% or a decrease in systolic blood pressure of less than 100 mm Hg
Exclusion criteria
Exclusion criteria: Contraindications for spinal anesthesia Primary blood pressure more than 90/140 mm Hg or heart disease Diagnosed diseases of the placenta Sensitivity to the drugs used
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The rate of hypotension. Timepoint: Before injecting spinal anesthesia then every 2 minutes to 20 minutes and then every 5 minutes to 45 minutes. Method of measurement: Measurement by monitoring device.;Bradycardia. Timepoint: Before injecting spinal anesthesia then every 2 minutes to 20 minutes and then every 5 minutes to 45 minutes. Method of measurement: Measurement by monitoring device. | — |
Secondary
| Measure | Time frame |
|---|---|
| Apgar fetus. Timepoint: 1 minute and 5 minutes after delivery. Method of measurement: Apgar scoring form of 10 points.;Fetal pH. Timepoint: After delivery and umbilical cord incision. Method of measurement: By sending a cord blood sample to the laboratory and determining the pH of the fetus. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFatemeh moradi
Karaj University of Medical Sciences
Outcome results
None listed