CompletedNot Applicable

Effects of Spinal Versus General Anesthesia on Neonatal Cerebral Oxygenation During Cesarean Section

Turkey (Türkiye)49 participantsStarted 2020-01-02

Plain-language summary

This prospective observational study evaluates and compares the effects of spinal and general anesthesia techniques used during elective cesarean section on neonatal cerebral regional oxygen saturation (crSO₂) during the early transition to extrauterine life. Near-infrared spectroscopy (NIRS) was used to continuously monitor neonatal cerebral oxygenation for the first 16 minutes after birth. Neonatal heart rate, peripheral oxygen saturation (SpO₂), cerebral fractional tissue oxygen extraction (cFTOE), umbilical cord blood gas parameters, birth weight, and APGAR scores were also recorded.

Who can participate

Age range18 Years – 40 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Pregnant women aged 18-40 years * ASA physical status II * Gestational age between 36 and 41 weeks * Undergoing elective cesarean section * Singleton pregnancy * Provided written and verbal informed consent Exclusion Criteria: * Emergency cesarean delivery * ASA physical status ≥ III * Smoking or alcohol use * Presence of chronic systemic disease * Preeclampsia, eclampsia, or other pregnancy-related complications * Preterm (\<36 weeks) or post-term (\>41 weeks) pregnancy * Multiple gestation * Placental implantation or adhesion anomalies * Neonates requiring resuscitation or supplemental oxygen after birth * Maternal intraoperative desaturation requiring oxygen supplementation

What they're measuring

Neonatal Cerebral Regional Oxygen Saturation (crSO₂)

Timeframe: From birth to 16 minutes after delivery.

Trial details

NCT IDNCT07477093

SponsorAkdeniz University Hospital

Sponsor typeOTHER

Study typeOBSERVATIONAL

Primary completion2023-01-02