Elective Cesarean Section, Maternal Hypotention
Conditions
Keywords
regional anestesia, cesarean section, hypotention, newborn
Brief summary
About 20-25% of deliveries are by cesarean section. Most are elective with use of regional anesthesia (spinal/epidural). Drop of blood pressure after regional anesthesia is common. It have the risk of reduction of blood flow to the placenta and the fetus. No studies had followed the newborns their first days of live,of mothers who developed hypotension in durins CS.
Detailed description
A reterospective study of all full term babies, born in elective cesarean section with use of regional anesthesia. Two groups will be define rgarding maternal hypotention following regional anesthesia - maternal hypotention (study group) or normal maternal BP. The definition of Maternal hypotension: decrease in 10% or more in mean BP in compared to first BP taken at admition. Data will colect from mothers and neonates records as well as operation data. Maternal data: gravida, parity, diseases, medications, demographics, and all data regarding the operation (blood pressures, Heart rates, saturation, treatment given etc.). Infant data: gestational age, birth weight, sex, Apgar, cord pH, clinical manifestations, medications, time of hospitalization.
Interventions
None listed
Sponsors
Sheba Medical Center
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Days to 1 Days
Healthy volunteers
Yes
Inclusion criteria
* fullterm infants, born by elective cesarean section using regional anasthesia.
Exclusion criteria
* preterms, urgent CS, CS using general anasthesia, Multiple pregnancy, Congenital malformations.
Outcome results
None listed