Elective Cesarean Section, Spinal Anesthesia in Cesarean Section. Encounter for cesarean delivery without indication
Conditions
Interventions
Intervention 1: Intervention group: Patients in the intervention group (intrathecal fentanyl group) will receive a solution containing 10–12 mg of 0.5% hyperbaric bupivacaine combined with 25 microgra
Sponsors
Oroumia University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Gestational age of 37 to 40 weeks Singleton pregnancy ASA class I or II Informed consent to participate in the study
Exclusion criteria
Exclusion criteria: Presence of maternal diseases such as preeclampsia Severe cardiovascular diseases Hepatic or renal diseases Known hypersensitivity to fentanyl or local anesthetic drugs Presence of contraindications to spinal anesthesia (such as coagulation disorders or infection at the injection site) Emergency delivery or fetal distress Morbid obesity (BMI > 40) and cases with severe bleeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal hemodynamic changes, including systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and heart rate (HR). Timepoint: Before spinal anesthesia (baseline) and at 1, 3, 5, 10, and 15 minutes after spinal anesthesia. Method of measurement: Hemodynamic parameters are measured and recorded using standard anesthesia monitoring equipment, including a non-invasive blood pressure monitor and ECG. | — |
Secondary
| Measure | Time frame |
|---|---|
| Neonatal Apgar score at 1 and 5 minutes after birth. Timepoint: At 1 minute and 5 minutes after birth. Method of measurement: Apgar score is assessed by the neonatal team based on the five standard components: heart rate, respiratory effort, muscle tone, reflex irritability, and skin color. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Roghayea Neisari
Oroumia University of Medical Sciences
Outcome results
None listed