RecruitingNCT06621706

Ultrasound Assessment of Gastric Volume in Diabetic Versus Non-Diabetic Term Pregnant Women Undergoing Cesarean Section

Ultrasound Assessment of Gastric Volume in Diabetic Versus Non-Diabetic Term Pregnant Women Undergoing Elective Cesarean Section: A Prospective Randomized Clinical Trial

Sponsor

Beni-Suef University

Enrollment

140 participants

Start Date

Sep 25, 2024

Study Type

OBSERVATIONAL

Conditions

Pulmonary aspiration Gastric Content Aspiration

Summary

The aim of the work to compare estimated gastric volumes through ultrasound in fasting diabetic and non-diabetic pregnant women scheduled for caesarean section.

Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 40 Years

Inclusion Criteria5

pregnant women undergoing elective caesarean section
aged between 18-40 years
belonging to ASA II-III
gestational age greater than 37 weeks
BMI< 35 kg/m2

Exclusion Criteria4

patients who refuse to give consent
patients taken to surgery on an emergency basis, -pregnant patients with upper gastrointestinal (GI) diseases and pathologies
patients with a history of using medications that affect gastrointestinal motility (e.g., opioids), severe organ dysfunction
pre-existing neurological deficits, intellectual disabilities and anatomical deformities.

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Interventions

DEVICEGastric ultrasonography

Women will be requested to fast 2 hours for clear drinks, 6 hours for a light meal, and 8 hours for a meal high in fried or fatty content prior to their next antenatal clinic visit. On the day of assessment, fasting and dietary compliance will be confirmed individually with each woman and Gastric ultrasonography will be performed after sex and eight hours of fasting food. Women will be first scanned in a semi-recumbent (45 degrees head up) supine position, followed by a semi-recumbent (45 degrees head up) right lateral position (RLP). In both positions the gastric antrum will be identified in the sagittal plane with its internal anatomical landmarks identified, i.e. the left lobe of the liver anteriorly and the abdominal aorta posteriorly.