Abstract

Objectives: Present study was carried out to determine the variation of Blood Pressure (BP) during different stages of Cesarean section (CS) and the effect of oxytocin on BP to help in establishing better perinatal care towards achieving the goal of healthy mother and baby. Material and method: Hundred cases of CS done under spinal anaesthesia in Nalanda Medical College Hospital, Patna were evaluated. Blood Pressure was recorded at the time of admission, after premedication, after skin incision, after delivery of head of baby, after Oxytocin injection, after delivery of baby, after delivery of placenta, after repair of uterus and after skin repair. Results: Baseline mean Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 117± 7.13 and 77.88 ± 5.66 mmHg. There was significant rise in SBP and DBP after premedication (129.29±5.15 & 86.56± 4.12 mmHg respectively, p <0.05). SBP and DBP falls significantly after Oxytocin injection (112.76±6.50 & 72.42±4.05mmHg), after delivery of baby (112.76±6.50 &71.08±3.46 mmHg) and after delivery of placenta (110.96±5.47 & 71.56±3.19 mmHg). Conclusion: There is wide variation in BP during Cesarean section and it falls significantly after Oxytocin injection. Close monitoring of BP during CS may result in better perinatal outcome.

Authors and Affiliations