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Effect of Maternal and Neonatal Oxygenation

Effects of Neonate and Maternal Oxygenation in Low-dose Oxygen Supplement by Oxygen Cannula or Non- Supplement in Elective Cesarean Section: a Randomized Controlled Trial

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01530971
Enrollment
325
Registered
2012-02-10
Start date
2012-03-31
Completion date
2013-03-31
Last updated
2013-07-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Peer Review, Research

Keywords

oxygen, pregnancy, caesarean section, anesthetic techniques

Brief summary

Intraoperative supplemental oxygen has been given for most parturients undergoing cesarean section under spinal anesthesia. However, evidences supporting the practice is not clear nowadays, especially for healthy parturients who are monitored continuously with pulse oximeter. Furthermore, hyperoxia may produce free radicles which could harm fetus and newborns. Changing practice is not that easy. This study has been conducted to prove that supplemental oxygen is not necessary for healthy parturients during cesarean section.

Detailed description

Supplemental oxygen has been routinely given to parturients because doctors were concerned about desaturation. However, the evidences for giving oxygen was not strong, and the condition nowadays can be detected immediately with pulse oximeter which is a standard monitoring. After this study finished, we will set a safety guideline for supplemental oxygen for healthy parturients undergoing elective cesarean section.

Interventions

DRUGSupplemental 3LPM oxygen via canula

Parturients will receive supplemental oxygen (3LPM) via nasal canula

Sponsors

Mahidol University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
19 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Aged \> 18 years old. * Term pregnancy (gestational age 37 -42 weeks). * Singleton * Elective cesarean section.

Exclusion criteria

* History of infertility * Diabetes * Hypertension or preeclampsia * Heart disease * Morbid obesity * Premature rupture of membrane * Placenta previa * Preoperative oxygen saturation \< 95%

Design outcomes

Primary

MeasureTime frameDescription
proportion of maternal desaturationintraoperative periodOxygen saturation \< 94% once.

Secondary

MeasureTime frameDescription
neonatal outcomesintraoperative periodApgar score and parameters from umbilical cord gas

Countries

Thailand

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026