Effect of starvation times on blood glucose of mother and her full term newborn before spinal anaesthesia for elective cesarean section
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 12
Abstract
Pregnant mothers awaiting elective caesarean section often have fasting times much longer than recommended due to inadvertent delay in surgery. We aimed to ascertain changes in maternal and fetal blood glucose with the duration of maternal fasting. The study population comprised of Group A (n=17) liquid fasting between 2-3 hours, and Group B (n=17) liquid fasting more than 3 hours. Maternal and fetal cord blood glucose levels, Apgar scores at 1 and 5 minutes, the need for resuscitation and its correlation with newborn blood glucose level were estimated. All data analyzed statistically. Mean duration of liquid fasting in Gr.A: 2.65hours; in Gr. B: 11.35 hours. Mean maternal capillary glucose level in Gr.A:101 mg/dl; in Gr. B: 76 mg/dl. Mean neonatal cord blood glucose level in Gr.A: 96.94 mg/dl; in Gr.B:73.76 mg/dl. Apgar score in Gr A at 1 min: 8.43 and at 5 min: 9.81; Apgar score at 1 min in Gr.:7.62 and at 5 min: 9.7. Need for resuscitation in Gr.A: 11.76%; in Gr.B: 47.05%. Heel prick capillary glucose level (needed resuscitation) in Gr. A: 62mg/dl; in Gr.B:44mg/dl. The duration of fasting has significant negative correlation with maternal (-0.76) and fetal blood glucose levels (-0.73). Strong positive correlation exists between maternal and fetal cord blood glucose levels (0.97).
Authors and Affiliations
Sampa Dutta Gupta, Sulagna Bhattacharya, Manjushree Ray, Sudeshna Bhar Kundu, Sunanda Maji, Sreyashi Sen, Aruna Bhattacharya
Keywords
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