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This retrospective study aims to evaluate the fate of children born by cesarean section under spinal anesthesia with or without norepinephrine as vasopressor support for anesthesia. The main objective is to compare the initial Apgar score. The records of patients who received norepinephrine are compared to those without norepinephrine. To limit the biases of this type of study, the investigators will apply a propensity score that will include as a variable: age, ASA score, comorbidity, urgency. The patients analysed correspond to the period 2016-2017.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | boli of ephedrine phenylephrine (45μg/mL-3mg/mL) if the variation of MAP < 20% of baseline (MAP before spinal anaesthesia). | ||
| Protocol group | continuous infusion of norepinepineprhine at 20 μg/mL, started at 0.05 μg/kg/min. The dosage of norepinephrine was then adjusted to maintain a variation in MAP < 20% of baseline. In case of failure, the use of a control group boli injection was possible. |
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| Measure | Description | Time Frame |
|---|---|---|
| lactate level | The primary endpoint is the Umbilical Cord Lactate levels | Just after the birth of the newborn baby |
| Measure | Description | Time Frame |
|---|---|---|
| APGAR Score | APGAR Score | 1, 5 and 10 minutes after birth |
| Umbilical Cord arterial PH | Umbilical Cord arterial PH | Just after the birth |
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Inclusion Criteria:
Exclusion Criteria:
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Pregnant women
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women over 18 years of age who need a caesarean section
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nîmes | Nîmes | Gard | 30029 | France |
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| Umbilical Cord venous PH | Umbilical Cord venous PH | Just after the birth |
| maternal arterial tension during cesarean section | maternal arterial tension during cesarean section | 0, 5,10,15, 20 25, 30,35,40 minutes after spinal anesthesia |
| incidences of mother nausea and vomiting | incidences of mother nausea and vomiting | from beginning to cesarean section end |
| use of vasopressors | use of vasopressors | from beginning to cesarean section end |