Effects of maternal dextrose infusion during caesarean section on fetus and neonate
- VernacularTitle:择期剖宫产术中输糖量的探讨
- Author:
Yi FENG
;
Bo FANG
;
Shuren LI
- Publication Type:Journal Article
- Keywords:
Dextrose Caesarean section
- From:
Chinese Journal of Anesthesiology
1994;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Fifty-six fasting women undergoing elective caesarean section received one of the following five glucose regimens before delivery respectively, group Ⅰ:0.9% saline 800ml as control; group Ⅱ:120ml of 5% dextrose(6g) in normal saline and 680ml of 0.9% saline;group Ⅲ:240ml of 5% dextrose (12g) in normal saline and 560ml of 0.9% saline group Ⅳ:480ml of 5% dextrose(24g) in normal saline and 320ml of 0.9% saline;group Ⅴ:800ml of 5% dextrose in normal saline(40g) The results showed that the maternal and umbilical cord venous blood sugar at delivery were significantly increased in group Ⅳ and Ⅴ. In group Ⅴ,neonatal acidosis(pH=7.19?0.02) was induced, PaCO_2 and lactate elevated to 58.5?2.8mmHg and 26.1?2.5mg% separately, neonatal hypoglycaemia (36?6.8mg% )occured 2 hours after delivery. There was higher incidence of neonatal jaundice in infants of group Ⅴ than in thoseof group Ⅰ and Ⅱ. It is suggested that the larger amounts of intravenous dextrose to the maternal is harmful to the neonate during caesarean section.
