Caesarean Section;Stillbirth
Conditions
Brief summary
This retrospective study aims to evaluate the fate of children born by cesarean section under spinal anesthesia with or without norepinephrine as vasopressor support for anesthesia. The main objective is to compare the initial Apgar score. The records of patients who received norepinephrine are compared to those without norepinephrine. To limit the biases of this type of study, the investigators will apply a propensity score that will include as a variable: age, ASA score, comorbidity, urgency. The patients analysed correspond to the period 2016-2017.
Interventions
None listed
Sponsors
Centre Hospitalier Universitaire de Nīmes
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Inclusion criteria
* age \> 18 * Spinal Anesthesia for Cesarean Section
Exclusion criteria
* sub epidural cesarean section * contraindication to spinal anesthesia (allergy, severe heart disease, coagulopathy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| lactate level | Just after the birth of the newborn baby | The primary endpoint is the Umbilical Cord Lactate levels |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| APGAR Score | 1, 5 and 10 minutes after birth | APGAR Score |
| Umbilical Cord arterial PH | Just after the birth | Umbilical Cord arterial PH |
| Umbilical Cord venous PH | Just after the birth | Umbilical Cord venous PH |
| maternal arterial tension during cesarean section | 0, 5,10,15, 20 25, 30,35,40 minutes after spinal anesthesia | maternal arterial tension during cesarean section |
| incidences of mother nausea and vomiting | from beginning to cesarean section end | incidences of mother nausea and vomiting |
| use of vasopressors | from beginning to cesarean section end | use of vasopressors |
Countries
France
Outcome results
None listed