About this trial
This prospective observational cohort study will evaluate maternal and fetal blood gas parameters in women undergoing cesarean delivery under spinal or general anesthesia. Maternal venous blood samples will be obtained immediately before anesthesia induction, and umbilical arterial blood samples will be obtained after delivery and cord clamping. Blood gas parameters, including pH, pCO2, pO2, bicarbonate, base excess, lactate, and fetal carboxyhemoglobin levels, will be compared between the spinal and general anesthesia groups. The study will also evaluate maternal-fetal blood gas gradients, Apgar scores, neonatal intensive care requirements, and the relationship between smoking exposure and fetal carboxyhemoglobin levels.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult women undergoing cesarean delivery at the study center.
Patients receiving spinal or general anesthesia for cesarean delivery.
Disqualifiers
Patients who are not eligible for participation according to the study protocol.
Patients in whom spinal anesthesia is converted to general anesthesia because of inadequate spinal block and pain during surgery.
Trial population
Pregnant women undergoing cesarean delivery at the Obstetrics and Gynecology Clinic of Bagcilar Training and Research Hospital. The study is a prospective observational cohort comparing maternal and fetal blood gas parameters and fetal carboxyhemoglobin levels according to the observed anesthesia technique (spinal or general anesthesia).
Trial design
Cohort
Prospective
Treatments tested in this trial
Anesthesia Technique
Other interventionObserved anesthesia technique in women undergoing cesarean delivery. Participants received either spinal anesthesia or general anesthesia as part of routine clinical care; the anesthesia technique was not assigned by the study.
Treatment groups
Trial outcomes
Primary outcomes
Umbilical artery pH
Umbilical arterial pH measured after delivery and cord clamping.
Secondary outcomes
Maternal venous pH
Maternal venous pH measured immediately before anesthesia induction.
Umbilical artery pCO2
Umbilical arterial pCO2 measured after delivery and cord clamping.
Umbilical artery pO2
Umbilical arterial pO2 measured after delivery and cord clamping.
Maternal venous pCO2
Maternal venous pCO2 measured immediately before anesthesia induction
Sponsors and contacts
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