Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Unavailable to collect study participants.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
It has been believed that the risk of pulmonary aspiration in term pregnant women is increased, and should be considered that all term pregnant women to have "full stomach". Recently, gastric ultrasound has been adopted as a useful tool for quantitative and qualitative assessment of stomach before anesthesia, and predict the risk of pulmonary aspiration.
Although, both the obesity and pregnancy are known to be the risk of pulmonary aspiration, it is suggested in the American Society of Anesthesiology fasting guidelines, that the same fasting time should be applied in the obese and non-obese parturients. However, this was based on one study done in a small (10) numbers of volunteers.
Therefore, the investigators aimed to compare the gastric antral cross-sectional area in both obese and non-obese term pregnant women, scheduled for elective cesarean section.
This study is a prospective, observational study. 42 term (≥37 weeks) pregnant, non-laboring adult women scheduled for cesarean delivery will be included in the study. They will be allowed to drink water freely, until 2 hours before the anesthesia. Gastric ultrasound will be performed in 21 non-obese women, and 21 obese women. The obesity is defined by the body mass index at term.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non-obese women | body mass index lower than 30 (kg/m^2) at term |
| |
| Obese women | body mass index equal or greater than 30 (kg/m^2) at term |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Water | Other | Drink water freely until 2 hours before anesthesia. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Gastric antral cross-sectional area | Cross-sectional area of gastric antrum assessed by ultrasonography | 2 hours after the time allowed to drink water. |
| Measure | Description | Time Frame |
|---|---|---|
| Preoperative anxiety | Preoperative anxiety is scored from 0 (never) to 10 (very much). | 2 hours after the time allowed to drink water. |
| Hunger score | Hunger score is scored from 0 (never) to 10 (very much). |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Women undergoing elective cesarean section.
Non laboring, term (≥37 weeks) pregnant women uldergoing elective cesarean section, in our medical center.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Eunah Cho, MD | KangbukSamsung Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kangbuk Samsung Hospital | Seoul | 03181 | South Korea |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D014867 | Water |
| ID | Term |
|---|---|
| D006878 | Hydroxides |
| D000468 | Alkalies |
| D007287 | Inorganic Chemicals |
| D000838 | Anions |
| D007477 |
Not provided
Not provided
Not provided
Not provided
Not provided
| 2 hours after the time allowed to drink water. |
| Thirst score | Thirst score is scored from 0 (never) to 10 (very much). | 2 hours after the time allowed to drink water. |
| Ions |
| D004573 | Electrolytes |
| D010087 | Oxides |
| D017601 | Oxygen Compounds |