Maternal Hypotension During Cesarean Section and Short Term Neonatal Outcome.

Sheba Medical Center

Status: Terminated

Conditions: Maternal Hypotention; Elective Cesarean Section

Study type: Observational

Funder types: Other

Identifiers

NCT00330512

SHEBA-06-4117-AM-CTIL

Details and patient eligibility

About

About 20-25% of deliveries are by cesarean section. Most are elective with use of regional anesthesia (spinal/epidural). Drop of blood pressure after regional anesthesia is common. It have the risk of reduction of blood flow to the placenta and the fetus.

No studies had followed the newborns their first days of live,of mothers who developed hypotension in durins CS.

Full description

A reterospective study of all full term babies, born in elective cesarean section with use of regional anesthesia. Two groups will be define rgarding maternal hypotention following regional anesthesia - maternal hypotention (study group) or normal maternal BP. The definition of Maternal hypotension: decrease in 10% or more in mean BP in compared to first BP taken at admition.

Data will colect from mothers and neonates records as well as operation data. Maternal data: gravida, parity, diseases, medications, demographics, and all data regarding the operation (blood pressures, Heart rates, saturation, treatment given etc.).

Infant data: gestational age, birth weight, sex, Apgar, cord pH, clinical manifestations, medications, time of hospitalization.

Enrollment: 500 estimated patients

Sex: All

Ages: 1 to 1 day old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• fullterm infants, born by elective cesarean section using regional anasthesia.

Exclusion criteria

• preterms, urgent CS, CS using general anasthesia, Multiple pregnancy, Congenital malformations.