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Complications; Cesarean Section clinical trials

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NCT ID: NCT03052699 Completed - Clinical trials for Complications; Cesarean Section

Medium and Long-term Complications of the Patients Having Had a Vaginal Caesarian in Hospital René Dubos

CeVag
Start date: September 2015
Phase: N/A
Study type: Observational

This database has for objective to include the medical data of patients which underwent a vaginal Cesarean Section in our establishment. This collection will allow to determine the risk factors of the maternal morbi-mortality and to estimate the long-term results

NCT ID: NCT02854787 Completed - Hypotension Clinical Trials

Intravenous Bolus of Phenylephrine vs. Norepinephrine in Preventing Hypotension After Spinal Anesthesia

NorPN
Start date: May 2016
Phase: Phase 4
Study type: Interventional

The purpose of the study is to determine if an intravenous bolus of phenylephrine is more effective compared to an intravenous bolus of norepinephrine associated with crystalloid loading for maintaining blood pressure during a spinal anesthetic for a cesarean delivery. Prevention of low blood pressure has been shown to decrease nausea and vomiting during and after cesarean delivery under spinal anesthesia. For elective cesarean delivery, all participants will receive spinal anesthesia with a local anesthetic and sufentanil. This study plans to enroll 120 pregnant women. Patients will be randomly assigned according to a computer generated system to be in one of two groups.

NCT ID: NCT02785094 Completed - Clinical trials for Complications; Cesarean Section

Education and Social Media Versus Non-Indicated Caesarean Section Rate in Egypt

Start date: June 2016
Phase: N/A
Study type: Observational

This study focus on measuring effect of Egyptian Primigravidas' education level and accessibility to social media on rate of maternal request option offered for non-indicated primary caesarean section.

NCT ID: NCT02722356 Completed - Clinical trials for Complications; Cesarean Section

Outcomes After the Implementation of a New Oxytocin Protocol

Start date: April 2016
Phase: N/A
Study type: Interventional

The proposed study is a prospective, randomized, active control, open label study. One hundred sixty subjects undergoing elective cesarean section will be randomly assigned to one of two groups (n = 80 per group): the oxytocin protocol group or the standard practice group. The oxytocin protocol group will receive oxytocin boluses along with a regulated infusion according to a stepwise algorithm following delivery of the placenta. The standard practice group will receive oxytocin via a free flowing ("wide-open") infusion with a concentration of 30 IU per 500 mL of 0.9% normal saline following the delivery of the placenta. Primary outcomes include uterine tone (adequate or inadequate) as assessed by the surgeon, amount of time required to establish adequate uterine tone following the delivery of the infant, total dose of oxytocin required to establish adequate uterine tone, and total calculated blood loss based on pre-operative and post-operative hematocrit concentrations. Secondary outcomes include total estimated blood loss as agreed upon by the surgeon and the anesthesia provider, use of additional uterotonic drugs, mean arterial pressure, and incidence of oxytocin side effects (nausea, chest tightness/pain, and ST-segment changes).

NCT ID: NCT02686242 Completed - Clinical trials for Complications; Cesarean Section

Spinal Aesthesia in Women With Placenta Previa Percreta

SAW
Start date: December 2015
Phase: N/A
Study type: Observational

Placenta previa percreta is a dangerous complication during surgery. Due to the high risk of hemorrhage, most parturients with placenta previa have to accept cesarean section. In this study investigators compare the effect of different anesthetic techniques on these patients.

NCT ID: NCT02635555 Completed - Hypotension Clinical Trials

The Effects of Height and Weight Adjusted Dose of Local Anesthetic.

Start date: April 2016
Phase: N/A
Study type: Interventional

At our centre a conventional dose of 12 mg of hyperbaric bupivacaine in combination with a short acting opioid fentanyl (to increase block density) and a long acting opioid morphine (to provide post-operative pain relief ) is used for spinal anesthesia for cesarean section.However, larger doses of local anesthetic drug when used in caesarean section commonly cause low blood pressure and requires drugs (vasopressors) to treat it. In our study the investigators will standardize the doses of both opioids (fentanyl/morphine) and adjust the dose of local anesthetic (bupivacaine) based on the patients height and weight .One of the obvious challenges anesthesiologists face is providing adequate anesthesia to the patient whilst minimizing harmful side effects. Our primary concern is the low blood pressure as an effect of the spinal anesthetic as it is harmful to both mother and the baby. The investigators propose that the extent of surgical anesthetic block, which is dependent on height and weight in our adjusted dose group, will provide adequate anesthesia for surgery and minimise maternal low blood pressure.

NCT ID: NCT02587013 Completed - Clinical trials for Complications; Cesarean Section

Comparison of Uterine Repair Methods for Cesarean Delivery

Start date: November 2015
Phase: N/A
Study type: Interventional

This study is designed to compare the exteriorization of the uterus versus the in situ repair for closure of the hysterotomy incision with a completely standardized anesthetic protocol.

NCT ID: NCT02542748 Completed - Hypotension Clinical Trials

Comparison of Norepinephrine and Ephedrine on Hypotension After Spinal Anesthesia in Parturients

Start date: October 5, 2015
Phase: N/A
Study type: Interventional

Incidence of hypotension is high in parturients after spinal anesthesia. Ephedrine could be used to treat hypotension but lead to lower fetal pH as well. This study is to compare the effects of norepinephrine and ephedrine on hypotension in parturients.

NCT ID: NCT02495753 Completed - Clinical trials for Complications; Cesarean Section

Vaginal Cleansing Before Cesarean Delivery to Reduce Infection

Start date: August 2015
Phase: N/A
Study type: Interventional

The purpose of this study is to test the hypothesis that vaginal cleansing with povidone-iodine solution immediately prior to cesarean delivery reduces postcesarean infectious morbidity.

NCT ID: NCT02493608 Completed - Clinical trials for Complications; Cesarean Section

Scalpel vs Diathermy in Repeat Cesarean Delivery

Start date: July 2015
Phase: N/A
Study type: Interventional

The objective of this study is to compare scalpel vs. diathermy in abdominal wall incision in pregnant patients undergoing repeat elective cesarean delivery.