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
Related Articles
- EP ID EP618469
- DOI -
- Views 169
- Downloads 0
A case of low back pain
Back pain mostly thoracic and lumber region for 2 years. Fatigue and weight loss for same duration. Patients is smoker and having type 2 DM
Nutritional support in critical care : current concepts
Nutritional support has become a routine part of the care of the critically ill patient. Several studies have documented suboptimal performance related to nutrition practice in the intensive care unit (ICU) setting and t...
Metabolic syndrome : Metabolic flexibility is the future
Metabolic syndrome (MetS) is a well-documented clinical entity. Though the connection between various metabolic abnormalities has been known for long, MetS gained importance after Reaven propounded the concept of syndrom...
Leg pain a rare presentation (osteochondroma a case report)
The important causes of leg pain are due to diseases affecting bones, joints, arterial occlusion, venous occlusion, muscle cramps, tendinitis, shin splints & compression to arteries and nerves. Here a 39 year old lady pr...
Comparision of abdominal hysterectomy with vaginal hysterectomy for large size uterine leiomyoma
To Compare the outcome of vaginal and abdominal hysterectomy for large sized uteri with leiomyomas in terms of operative duration, intra-operative and postoperative complications. The study includes 200 cases of hysterec...