Evaluation of the effect of preoperative administration of glucose on intra and postoperative bleeding during cesarean section under spinal anesthesia

Determining the effect of preoperative administration of glucose serum on bleeding rate in cesarean section under spinal anesthesia

Based on a random number table Neither the patient nor the researcher knows which group the patient is in.

Kowsar Operating Room, Shahid Sadoughi Hospital, Yazd

Inclusion All term pregnant women aged 20-35 years, ASA class II, candidates for non-emergency cesarean section due to a second repeat cesarean section Exclusion Patient's unwillingness to participate in the study, eclampsia, preeclampsia, diabetes, hypertension, drug and psychotropic drug addiction, cardiopulmonary, renal, hepatic diseases

All patients receive 500 ml of Ringer's serum before surgery. Based on a random number table, patients are divided into two groups of 30. In the first group, 500 cc of 5% glucose serum is added, and in the second group, the same volume of normal saline is added to the Ringer's serum. This study is double-blind.Then, all patients are placed under spinal anesthesia. During the surgery, patients receive 2500 ml of intravenous Ringer's solution, and after the fetus and placenta are delivered, all patients are given 20 units of cento infusion.The amount of bleeding during the procedure is assessed by counting blood gases, suction blood volume, and estimated blood volume in the groin and groin, and the results are recorded in a questionnaire. The amount of bleeding during recovery is also assessed by estimating the amount of blood in the patient's pad. the data obtained from the questionnaires are statistically analyzed using SPSS version 23 software and the relevant statistical tests (chi square T test).

It is expected that administering preoperative glucose serum will reduce intraoperative and recovery bleeding.

Based on the random number table, patients are divided into two groups of 30. In the first group, 25 grams of glucose (equivalent to 500 cc of 5% glucose serum) is added to the Ringer's serum, and in the second group, the same volume of normal saline is added to the Ringer's serum. This study is double-blind. This means that neither the patient nor the researcher knows which group the patient is in.

Based on the random number table, patients are divided into two groups of 30. In the first group, 25 grams of glucose (equivalent to 500 cc of 5% glucose serum) is added to the Ringer's serum, and in the second group, the same volume of normal saline is added to the Ringer's serum. This study is double-blind. This means that neither the patient nor the researcher knows which group the patient is in.