Comparison of the efficacy of preload versus coload of crystalloid solution on maternal hypotension during spinal anaesthesia in caesarean delivery.

Dr. Khyati Oza; Dr. Jaydev Dave; Dr. Parthvi Solanki

Volume : VII, Issue : VII, July - 2017

Comparison of the efficacy of preload versus coload of crystalloid solution on maternal hypotension during spinal anaesthesia in caesarean delivery.

Dr. Khyati Oza, Dr. Jaydev Dave, Dr. Parthvi Solanki

Abstract :

Spinal anaesthesia is the standard technique for elective caesarean section, but hypotension remains the main complication. This hypotension has detrimental effects on both mother and fetus. The intravenous fluid can be used both before and during spinal anaesthesia, the technique named as preload and afterload respectively. The incidence of hypotension, the total dose of ephedrine required, incidence of nausea and neonatal outcomes were evaluated . Crystalloid loading with 15ml/kg just after intrathecal injection compared to preload would be more effective in preventing maternal hypotension The incidence of nausea was also lower in the coload group . Neonatal outcome measures were comparable between two groups.