Effect of Starvation Times on Blood Glucose of Mother and Her Full Term Newborn before Spinal Anesthesia for Elective Cesarean Section

Abstract

Background Pregnant mothers awaiting elective cesarean section often have fasting times much longer than recommended due to inadvertent delay in surgery We aimed to ascertain changes in maternal and fetal blood glucose with the duration of maternal fasting Subjects and Methods The study population comprised of Group A n liquid fasting between hours and Group B n liquid fasting more than hours Maternal and fetal cord blood glucose levels Apgar scores at and minutes the need for resuscitation and its correlation with newborn blood glucose level were estimated All data analyzed statistically Results Mean duration of liquid fasting in Gr A hrs in Gr B hrs Mean maternal capillary glucose level in Gr A mg dl in Gr B mg dl Mean neonatal cord blood glucose level in Gr A mg dl in Gr B mg dl Apgar score in Gr A at min and at min Apgar score at min in Gr and at min Need for resuscitation in Gr A in Gr B Heel prick capillary glucose level needed resuscitation in Gr A mg dl in Gr B mg dl Conclusion The duration of fasting has significant negative correlation with maternal and fetal blood glucose levels Strong positive correlation exists between maternal and fetal cord blood glucose levels Background Pregnant mothers awaiting elective cesarean section often have fasting times much longer than recommended due to inadvertent delay in surgery We aimed to ascertain changes in maternal and fetal blood glucose with the duration of maternal fasting Subjects and Methods The study population comprised of Group A n liquid fasting between hours and Group B n liquid fasting more than hours Maternal and fetal cord blood glucose levels Apgar scores at and minutes the need for resuscitation and its correlation with newborn blood glucose level were estimated All data analyzed statistically Results Mean duration of liquid fasting in Gr A hrs in Gr B hrs Mean maternal capillary glucose level in Gr A mg dl in Gr B mg dl Mean neonatal cord blood glucose level in Gr A mg dl in Gr B mg dl Apgar score in Gr A at min and at min Apgar score at min in Gr and at min Need for resuscitation in Gr A in Gr B Heel prick capillary glucose level needed resuscitation in Gr A mg dl in Gr B mg dl Conclusion The duration of fasting has significant negative correlation with maternal and fetal blood glucose levels Strong positive correlation exists between maternal and fetal cord blood glucose levels zgfzdfzdf