Pregnant women
Conditions
Interventions
The prospective, randomized, controlled trial was performed with pregnant women candidates for elective cesarean section at the Santa Helena-Cuiabá Hospital outpatient surgical unit (Presidente Marque
Control group (G2): the 11 patients will remain without ingesting solid and liquid foods for 8 hours before induction of anesthesia and will not receive any type of drink or food
Placebo Group (G3): The 11 patients will remain without ingesting solid foods for 6 hours prior to anesthetic induction, but will drink pure water six and 2 hours prior to anesthetic induction.
Nutrit
Dietary supplement
Sponsors
Hospital Universitário Julio Müller HUJM
Universidade Federal de Mato Grosso UFMT
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Women 18 to 40 years of age; above 39 gestational weeks Present body mass index (BMI kg / m²) suitable for gestational age according to the chart of Atalah et al 1997 Single fetus Elective caesarean with wall opening abdominal pain by the Pfannenstiel technique Present ASA (American Society of Anesthesiologist) score I and II Be submitted to the regional anesthetic technique; Ability to understand the rationale of the study evaluations; Signed the free and informed consent form.
Exclusion criteria
Exclusion criteria: Patients who do not adhere to the protocol at any stage of the study and who present: Anemia (Hb 140/90 mmHg); Renal or hepatic disease; C-reactive protein> 6.0 mg / L; Clinical repercussion of gastroesophageal reflux for the gravidic condition (Hyperemesis gravidarum, abnormal anatomy of the upper gastrointestinal tract); Operating time greater than two hours; Blood collection in the non-scheduled period; Preoperative complications requiring an emergency or major intraoperative cesarean section (eg hemorrhage).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To attenuate the organic response to elective cesarean section with the ingestion of a liquid formula containing carbohydrate and glutamine; ;Decrease the inflammatory markers PCR and I-6 with variation of at least 5% between the experimental and control groups;;Decrease HOMA-IR (homeostasis model assessment-insulin resistance: glycemia x insulin / 405) with variation of at least 5% between the experimental and control groups;;Maintain the palmar grip strength, measured by the manual dynamometer, noting a difference of at least 5% between the experimental and control groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| Reduce hunger (self-reported response);Reduce thirst (self-reported response);Avoid hypoglycemia (measured by biochemical blood glucose values) with a difference of at least 5% between groups. | — |
Countries
Brazil
Contacts
Public ContactAmílcar ;Cervantes Damazo;Caporossi
Universidade Federal de Mato Grosso UFMT;Universidade Federal de Mato Grosso UFMT
Outcome results
None listed