An interventional study of Cesarean section in Neonatal Hypoxia and Asphyxia, sponsored by Cairo University. Completed at 1 site in Egypt. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2018-03-12.
Sponsored by Cairo University · Not applicable, Interventional, and Prevention
Patients were classified into two equal groups using the presence or absence of hypertension during pregnancy into: hypertensive group (BP>140/90) and normotensive group (BP≤140/90. The surgical time intervals are assessed and classified the patients accordingly into short and log time interval subgroups (induction of regional anesthesia to delivery (I-D), initial skin incision to delivery (S-D), and uterine incision to delivery (U-D)
Surgical times components; induction of regional anesthesia till delivery (I-D interval); incision of the skin till delivery (S-D interval); and incision of the uterus till delivery (U-D interval)) were recorded using a stopwatch.
Immediately after delivery, umbilical cords were clamped on both ends and an arterial blood sample was collected anaerobically in a pre-heparinized insulin syringe. PH, base excess (BE), carbon dioxide pressure (PCO2), Oxygen pressure (PO2) and Bicarbonate (HCO3) levels were measured at 37oC by pH and gas analyzer (Gem, Premier3000, USA). The gas analysis was done in less than 30 minutes after sampling.
Apgar score was assessed by a neonatologist at the 1st and 5th minutes after birth . Advanced resuscitation included positive pressure ventilation, chest compression and/or drugs administration. All resuscitated babies were transferred to neonatal intensive care unit for post resuscitation care. Fetal distress was defined by an umbilical cord pH \<7.12
106 studies on the registry are indexed under Asphyxia Neonatorum; 19 are open to participants now.
This study's enrollment of 200 is above the median of 173 across 73 interventional studies indexed under Asphyxia Neonatorum.
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Exclusion Criteria:
women at full term healthy pregnancy who underwent elective Cesarean section
Procedure: Cesarean section
women at full term pregnancy associated with hypertension who underwent elective Cesarean section
Procedure: Cesarean section
Lower segment elective Cesarean section
Also known as: Elective Cesarean section
umbilical cord Ph
umbilical cords were clamped on both ends and an arterial blood sample was collected anaerobically in a pre-heparinized insulin syringe
Time frame: immediately after delivery
Apgar score
assessment of Appearance, Pulse, Grimace, Activity, and Respiration
Time frame: 1 and 5 minutes after delivery
Plan to share: Undecided
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This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.
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