Pregnancy
Conditions
Brief summary
This study evaluates the effectiveness of ultrasound in term pregnant patients posted for elective lower segment cesarean sections and compared them with non pregnant females posted for elective surgeries.
Detailed description
There is increased risk of aspiration in pregnancy due to various reasons i.e. increased progesterone levels, decreased motilin levels and distortion of gastric antrum due to gravid uterus.Ultrasound was proposed to be point of care tool, to assess risk stomach. A comparison with respect to the effectiveness of ultrasound was made in this study. The visibility of gastric antrum by ultrasound in term pregnant females posted for elective lower segment cesarean sections was compared with non-pregnant females posted for elective surgeries. The secondary aim of the study was to compare the gastric antrum in either groups qualitatively and quantitatively.
Interventions
OTHERultrasound
Sonosite ultrasound (Sonosite, FUJIFILM M-Turbo, made in USA)
Sponsors
Post Graduate Institute of Medical Education and Research, Chandigarh
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
Study group- Term pregnant patients, aged between 18 to 45 years, ASA II & III, having BMI between 18.5 to 30 kg/m2, scheduled for elective lower segment cesarean section. Control group- Non-pregnant female patients, aged between 18 to 45 years, ASA I & II, having BMI between 18.5 to 30 kg/m2, scheduled for elective surgery.
Exclusion criteria
Subjects with- * Gastrointestinal pathology * On any medication delaying gastric motility * Systemic lupus erythematosis * Diabetes mellitus * Gestational diabetes * Hypothyroidism Those who were not willing to give consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of ultrasound in pregnants and non-pregnants in terms of visibility | October 2016 to October 2017 | The effectiveness is stated in terms of percentage visibility and compared in pregnants and non-pregnants. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Qualitative assessment of Gastric antrum | October 2016 to October 2017 | The qualitative grading is derived and is compared in the pregnants and non-pregnants. |
| Quantitative assessment of Gastric Antrum | October 2016 to October 2017 | The quantitative data is obtained from the derived formulae and is compared in pregnants and non-pregnants. |
Outcome results
None listed