Meta AnalysisID 7856

剖宫产椎管内麻醉下预防性使用去氧肾上腺素与去甲肾上腺素对母儿结局的比较:系统评价与Meta分析

CRD42023429328

Does norepinephrine as compared to phenylephrine improve fetomaternal outcomes in terms of fatal acidosis, APGAR score and maternal haemodynamics?

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Record Fields

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Meta Analysis Id
7856
Evidence Id
16414
Core Evidence Id
16414
Source Meta Analysis Id
7853
Herb2 Meta Analysis Id
HBMA007853
Crd Id
CRD42023429328
Title
Comparison of prophylactic phenylephrine and norepinephrine on feto-maternal outcomes following cesarean delivery under neuraxial anaesthesia: A systematic review and meta-analysis
Review Question
Does norepinephrine as compared to phenylephrine improve fetomaternal outcomes in terms of fatal acidosis, APGAR score and maternal haemodynamics?
Study Type Included
Randomised controlled trials
Condition Being Studied
Pregnant women undergoing Caesarean section under neuraxial anaesthesia
Participant
Inclusion criteria - Term, singleton/twin pregnancy undergoing elective/emergency Caesarean section under neuraxial anaesthesia Exclusion criteria - peripartum bleeding, preexisting or pregnancy-related hypertension, preeclampsia, use of antihypertensive medication during pregnancy, known cardiovascular or cerebrovascular disease, body mass index (BMI) > 40 kg/m2, body weight less than 50 kg or more than 100 kg, height less than 150 cm or greater than 180 cm, age <18 years, any contraindication to regional anesthesia such as thrombocytopenia or coagulation abnormality
Animal
Human Disease Modelled
Intervention
Prophylactic norepinephrine infusion or bolus
Comparator Control
Prophylactic phenylephrine infusion or bolus
Main Outcome
Umbilical artery pH Measures of effect Median with interquartile range/Mean with standard deviation
Outcome Measure
Additional Outcome
APGAR score, Incidence of Maternal bradycardia, hypotension, hypertension, nausea and vomiting
Study Method
Meta-analysis, Systematic review
Keyword
Acidosis; Apgar Score; Female; Hemodynamics; Humans; Infant, Newborn; Norepinephrine; Phenylephrine; Pregnancy
Contact
Anjishnujit Bandyopadhyay [email protected]
Organisational Affiliation
All India Institute of Medical Sciences
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
India
Review Stage
Review Ongoing
First Submission Date
2023-05-27
Registration Date
2023-06-08
Anticipated Start Date
2023-06-07
Anticipated Completion Date
2023-07-07
Title Cn
剖宫产椎管内麻醉下预防性使用去氧肾上腺素与去甲肾上腺素对母儿结局的比较:系统评价与Meta分析
Title En
Comparison of prophylactic phenylephrine and norepinephrine on feto-maternal outcomes following cesarean delivery under neuraxial anaesthesia: A systematic review and meta-analysis
Bilingual Status
complete