Abstract

Background: The volume of the gastric fluids and the gastric pH both are affected during pregnancy and surgery. The gastric fluid volume and pH are also affected by the mode of surgery (elective caesarean section and emergency caesarean). Objective: The predetermined aim of this study was to compare the gastric fluid pH in emergency with elective caesarean sections. Method: The study was conducted in Divisional Headquarters Teaching Hospital, Mirpur, Azad Kashmir and the sample population was consisted of 150 patients. The sample was divided into two groups, the patients with emergency caesarean section and elective caesarean section group. The gastric volume and gastric pH were detected in both groups of the study. Results: The group of the patients in the emergency caesarean section showed lower gastric pH value (2.16 ± 0.64) and the gastric acid volume was (26.33 ± 10.59). In comparison, the gastric pH value for elective caesarean section was (4.56 ± 1.28) and gastric acid volume was (11.65 ± 4.37) respectively. The results were found to be significant at p-value <0.05. Conclusion: The results of the study concluded that gastric volume was significantly higher and gastric pH was significantly lower in emergency caesarean section as compared to elective caesarean section.

Highlights

  • Pregnancy is the condition that represents physiological adaptations, few adaptations become evident during first trimester of delivery while few of them remain persistent after the delivery

  • The mean age of the patients in the emergency caesarean section group was between the 20-30 years

  • In the elective caesarean section group, the mean age of the patient was found to be 27.82 ± 4.48 years and the age was ranging from 20-40 years. 38.6% (29 patients) of the patient were of the age group 20-25 years and 36% patients (27 patients) had the age range of 26-30 years

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Summary

Introduction

Pregnancy is the condition that represents physiological adaptations, few adaptations become evident during first trimester of delivery while few of them remain persistent after the delivery. The changes in physiology of GI tract includes the decrease in pH of the gastric fluids, gastric emptying and volume of the gastric fluids [1,2]. This whole condition is referred as gastro-esophageal reflux disease or GERD [3]. There are many factors that are associated with the variation of acid secretion due to food intake. The volume of the gastric fluids and the gastric pH both are affected during pregnancy and surgery. The gastric fluid volume and pH are affected by the mode of surgery (elective caesarean section and emergency caesarean)

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Conclusion

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