Forum Maternal and neonatal blood glucose after crystalloid loading for epidural Caesarean section

1365-2044

Blackwell Publishing Journal Backfiles 1879-2005

Medicine

Serial blood glucose estimations were made in 30 women undergoing elective Caesarean section under epidural anaesthesia, 2 litres of Hartmannb solution having been rapidly infused as a circulatory preload. Neonatal blood glucose estimations were made of cord blood at birth and 1 and 2 hours post delivery. A smull rise in maternal blood glucose occurred during the period of preloading and time before delivery, which was not statistically significant (p〈0.05). There was no biochemical or clinical evidence of neonatal liypoglwaemia. We conclude that despite rapid infusion of non-dextrose crystalloid solution there is neither danger of u relative maternal hypoglycaemia in fasted mothers nor neonatal hypoglycaemia, and offer an argument that even small amounts of dextrose contained in any preloading mixture are unnecessary.

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