Anesthesia in pregnancy
Conditions
Interventions
The study will be conducted at the Base Hospital Homagama, Sri Lanka. Consenting pregnant women awaiting elective ceasarian section, who fulfil the inclusion criteria will be recruited.
Patients will
Sponsors
Base Hospital, Homagama
Eligibility
Inclusion criteria
Inclusion criteria: 1. Participants will be pregnant mothers who are registered and admitted to ward 7 and 9 of Base Hospital Homagama, scheduled for elective cesarean sections, regardless of POA, during day time and consenting to spinal anesthesia 2. No known contraindications for spinal anesthesia 3. Any age group in the given study population. 4. Healthy ASA I 5. Height ranging from 145-165cm
Exclusion criteria
Exclusion criteria: 1. Known allergy to local anesthetics. 2. Mentally ill or handicapped 3. Known allergy to morphine or fentanyl
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first analgesic requirement [Time taken after closure of the skin incision and patient requesting pain relief. (Taken as Visual analogue Scale 3) ] Onset of anaesthesia (sensory block) up to T4 and onset of motor block as assessed according to the criteria of Bromage scale 3 or 4. [Onset of Anaesthesia to cold sensation and pinprick. Time taken from the infiltration of drugs to subarachnoid space] Assessment of pain by visual analogue scale [Before and after Anesthesia. ] | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of sedation, nausea and vomiting, pruritus, respiratory depression, and urinary retention [Every 3 minutes for the 1st 15 minutes and then every 5 minutes until the patient dispatched from the theater and sent to the ward. ] Maternal heart rate, respiratory rate, SPo2, non invasive blood pressure. [Every 3 minutes for the 1st 15 minutes and then every 5 minutes until the patient dispatched from the theater and sent to the ward. In ward every 15 minutes for 1 hour, then every half an hour for 1 hour, then hourly for 4 hrs, then 2 hourly for 6 hrs, then 4 hourly until completion of 24 hrs. ] APGAR score of the neonate [At first minute, 5 minutes and 10 minutes. ] | — |
Countries
Sri Lanka
Contacts
Public ContactDr Juliyange Dinithi Yogya Silva
Medical Doctor
Outcome results
None listed