Incidence of Postoperative Diaphragmatic Dysfunction in Pregnant Women With Preeclampsia
Recruiting · NCT07443345 · Observational (researchers observe without assigning treatment) · Lead sponsor: Cairo University
View the official record on ClinicalTrials.gov →What this trial is about
Preeclampsia with severe features remains a leading contributor to maternal morbidity and mortality, particularly in low- and middle-income countries. It is defined by hypertension and involvement of multiple organ systems, including renal, hepatic, hematologic, and neurologic pathways. The interplay of endothelial dysfunction, capillary leakage, and disrupted fluid balance in these patients increases their susceptibility to perioperative pulmonary complications. Although respiratory complications in preeclampsia are clinically significant, the true incidence of postoperative diaphragmatic dysfunction in women with severe disease is not well established. Existing literature largely emphasizes general respiratory failure, pulmonary edema, or the need for mechanical ventilation, rather than specifically evaluating diaphragmatic performance with objective methods such as ultrasound. The current study sought to determine the incidence and identify risk factors for postoperative diaphragmatic dysfunction in women with severe preeclampsia following cesarean delivery.
Who can take part
Inclusion criteria
- Patients with severe preeclampsia undergoing cesarean section
- Gestational age \> 32 weeks
Exclusion criteria
- • Age \< 20 years.
- Diabetic
- Patients with neuromuscular diseases.
- Patient refusal.
- Contraindications to magnesium sulphate administration
- Inability to obtain adequate ultrasound views
Where it is running
1 location listed.
- Cairo University Hospitals - Cairo, Egypt