The effect of fluid therapy on maternal and neonatal acid-base status in elective cesarean section: A triple-blind, randomized, controlled trial
The effect of fluid therapy on maternal and neonatal acid-base status in elective cesarean section: A triple-blind, randomized, controlled trial
نویسندگان: خسرو کلاهدوزان , ریحانه ابری سردرودی
کلمات کلیدی: lactated ringer, normal saline, cesarean section
نشریه: 0 , 2 , 4 , 2022
| نویسنده ثبت کننده مقاله |
ریحانه ابری سردرودی |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
دانشکده پیراپزشکی |
| کد مقاله |
78540 |
| عنوان فارسی مقاله |
The effect of fluid therapy on maternal and neonatal acid-base status in elective cesarean section: A triple-blind, randomized, controlled trial |
| عنوان لاتین مقاله |
The effect of fluid therapy on maternal and neonatal acid-base status in elective cesarean section: A triple-blind, randomized, controlled trial |
| ناشر |
2 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
خیر |
| عنوان نشریه (خارج از لیست فوق) |
International Journal of Medical Science and Clinical Research |
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح چهار – سایر سایت های تخصصی |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
|
| Background: Fluid therapy in perioperative cesarean section remains a debated topic. Its purpose is to maintain
or restore circulating blood volume and may affect the plasma acid-base balance of mother and neonatal.
Therefore, the aim of this study was to compare the effects of Normal saline with Ringer's lactate serum on the
acid-base status of mother and neonate in elective cesarean section.
Methods: forty-eight healthy term parturient women scheduled for elective cesarean section were randomly
divided into two groups (24 patients each). The first group received Normal saline serum and the second group
received ringer lactate serum. Maternal blood samples were obtained from an indwelling cannula in a peripheral
hand vein and Fetal arterial and venous blood samples were obtained at birth from a double-clamped umbilical
cord. The data collected during the study included PH, PCO2, HCO3 and BE. At birth, 1- and 5-minute Apgar
scores were recorded. Data were analyzed using descriptive statistics and inferential statistics at a significance
level of less than 0.05.
Results: Patients did not differ significantly in terms of demographic characteristics. The acidosis in mothers
was higher in lactated ringer group (5%, p <0.001). There was no difference in Apgar score between the two
groups.
Conclusion: Normal saline compared to lactated ringer causes acidosis in mothers under elective cesarean
section with spinal anesthesia, but none of them has a significant effect on the acid-base status of the infant.
Appropriate fluid therapy aimed at optimization of pH can be effective for mothers who are at higher risk for
acidosis |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| 4-1-16-368.pdf | 1401/01/30 | 197987 | دانلود |