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Not yet recruiting NCT07335172

Gastric Ultrasound Before Elective Cesarean Section

Observational Gastric Ultrasound Elective Cesarean Section Pregnant Women

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
This is an observational study: the protocol does not assign a study treatment.
Who it may be relevant to
Registry conditions: Gastric Ultrasound, Elective Cesarean Section, Pregnant Women. Basic parameters: 18 years — 45 years · Female.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Bedside Gastric Ultrasound Before Elective Cesarean Section: Observational Study

Overview

Due to the physiologically delayed gastric emptying in pregnant women, the potential risk of aspiration before cesarean delivery constitutes an important source of perioperative complications, and when it occurs, it is associated with increased maternal morbidity and/or mortality. Systematic reviews and meta-analyses have demonstrated that, compared with non-pregnant women, gastric emptying is delayed particularly during the first trimester of pregnancy, and that gastric emptying does not occur in cases who have consumed solid food within the last 8 hours and in whom labor has begun. This study aims to evaluate preoperative gastric volumes by ultrasonography in ASA II pregnant women (according to the American Society of Anesthesiologists classification, healthy parturients without complications) scheduled to undergo elective cesarean delivery under general or spinal anesthesia, based on different fasting durations for solid and liquid intake, with the type of liquid. Although previous research in pregnant populations has predominantly focused on the importance of gastric ultrasonography in the presence of gestational diabetes mellitus, this thesis study aims to generate data from the general population. The findings are expected to enable individualized preventive measures to reduce aspiration-related complications during cesarean deliveries performed under general or spinal anesthesia, thereby contributing to patient safety.

Primary outcome measures

  • Obstetric Ultrasonographic Assessment: Gastric volume [Time frame: 60-90 minutes before surgery]
  • Time of last solid food / liquid intake The time of the last solid food and liquid intake by the pregnant women will be recorded in hours. Liquid type will be also recorded. [Time frame: 60-90 minutes before surgery]
Secondary outcome measures (1)
  • Preoperative data [Time frame: 60-90 minutes before surgery]

Eligibility criteria

Inclusion criteria

  • Aged 18-45 years
  • Term pregnant women classified as ASA II scheduled for elective cesarean section
  • Those who voluntarily agree to participate in the study

Exclusion criteria

  • Cases requiring emergency (Lucas classification based on the urgency of caesarean section, Category 1-2)
  • Multiple pregnancies

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Cohort

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT07335172 · 218

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗