Intraoperative supplemental oxygen has been given for most parturients undergoing cesarean section under spinal anesthesia. However, evidences supporting the practice is not clear nowadays, especially for healthy parturients who are monitored continuously with pulse oximeter. Furthermore, hyperoxia may produce free radicles which could harm fetus and newborns. Changing practice is not that easy. This study has been conducted to prove that supplemental oxygen is not necessary for healthy parturients during cesarean section.
Supplemental oxygen has been routinely given to parturients because doctors were concerned about desaturation. However, the evidences for giving oxygen was not strong, and the condition nowadays can be detected immediately with pulse oximeter which is a standard monitoring. After this study finished, we will set a safety guideline for supplemental oxygen for healthy parturients undergoing elective cesarean section.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
325
Parturients will receive supplemental oxygen (3LPM) via nasal canula
Siriraj hospital
Bangkok, Thailand
proportion of maternal desaturation
Oxygen saturation \< 94% once.
Time frame: intraoperative period
neonatal outcomes
Apgar score and parameters from umbilical cord gas
Time frame: intraoperative period
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