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Abstract

BACKGROUND: Intravenous glucose fluids may be given to patients undergoing caesarean delivery to provide energy  to the mother and fetus while maintain hemodynamics. Different intravenous solution loads before operation, however, may cause maternal and fetal  hyperglycemia or hypoglycemia .OBJECTIVE: To compare the blood glucose level of the mother and the fetal after giving ringer lactate have (0, 1, and 5%) glucose to the mother before induction and completed after delivery to minimize the effect of both fasting and to mark the optimal glucose concentration for both mother and fetus.PATIENTS AND METHODS: Sixty pregnant women aged 18-35 years underwent elective cesarean delivery are randomly distributed into three groups. Group A received Ringer lactate with 0 % glucose (0 g), Group B received 1 % glucose (5 g), and Group C received 5 % (25 g) glucose. Once the patients were in the operating room, each group of them received an infusion of 500 ml of test solution before induction, and the administration ended after delivery.RESULTS:The mean maternal glucose level before the intravenous infusion was 80.21±11.32 in the study groups. After the intravenous infusion finished, maternal blood glucose levels were group A 72.3 (±5.6), group B 100.1 (±10.3), and group C 243.7 (±40.3). For neonatal capillary blood glucose levels immediately after delivery were Group A 54.7 ± 7.74, Group B 82.4 ±10.06 and Group C 184.2 ±12.89.CONCLUSION: Ringer lactate with 1 % glucose solution was the ideal fluid to maintain the appropriate blood glucose level in the mother and fetus and maintain maternal hemodynamics and provide power for both mother and fetus.  

DOI

10.52573/ipmj.2024.182814

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