Caesarean Section Clinical Trial
Official title:
Do Preoperative Carbohydrate Drinks Prevent Preoperative Catabolism in Mothers Undergoing Elective Caesarean Section? A Randomised Controlled Study
The primary aim of this randomised control trial is to assess the impact of pre-operative carbohydrate loading on the incidence of urinary ketone bodies when compared to standard care in elective caesarean section. Half of the participants will receive pre-operative carbohydrates and the other half will receive standard care.
Patients requiring general anaesthetic for surgical procedures are asked to stop eating and
drinking for several hours before the procedure. This is due to concerns that such patients
are at risk of lung damage caused by stomach contents entering their lungs while they are
asleep (aspiration of gastric contents).
However, fasting patients for long periods of time can lower their ability to heal well and
slow their recovery from surgery. Fasting increases anxiety levels and leads to poor patient
satisfaction with the care received.
Recent studies have showed that allowing patients to drink clear, easily absorbed sugar rich
liquids (carbohydrate drinks) until two hours prior to their anaesthetic does not expose them
to extra risks while preventing the deleterious effects of starvation.
Carbohydrate drinks with a few other measures aimed at facilitating early recovery after
surgeries are collectively termed Enhanced recovery after surgery (ERAS). The benefits and
safety of enhanced recovery have been demonstrated in patients undergoing major bowel surgery
and have been widely adopted. However, so far, no studies have been conducted to determine if
these results apply to mothers undergoing planned caesarean sections. We hope to address this
gap in the knowledge with our proposed study.
All mothers undergoing a planned caesarean section in the Princess Royal Maternity (PRM) will
be invited to participate. Mothers will be divided into two groups. One group will receive
standard care and the other group will receive a carbohydrate drink in addition to standard
care. Information collected from the groups will be compared to evaluate the expected
benefits and risks. The study will continue until the target sample size of 100 mothers in
each of the two study groups is reached.
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