[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100624276":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":25,"centralContacts":30,"locations":37,"responsibleParty":69,"collaborators":25,"id":72,"slug":73,"hasResults":74,"nctId":75,"briefTitle":76,"officialTitle":77,"acronym":25,"eligibilityCriteria":78,"healthyVolunteers":74,"sex":79,"minAge":80,"maxAge":25,"enrollmentInfo":81,"targetDuration":25,"studyType":84,"phases":85,"briefSummary":87,"conditions":88,"keywords":92,"overallStatus":64,"whyStopped":25,"lastUpdateSubmitDate":98,"lastUpdatePostDateStruct":99,"startDateStruct":102,"completionDateStruct":104,"leadSponsor":106,"locationsCount":107},{"fullName":5,"class":6},"The Rotunda Hospital","OTHER",[8,13],{"label":9,"type":6,"description":10,"interventionNames":11},"'Sip Til Send' with water","The \"water\" group who will be encouraged to sip at a maximum rate of 1 cup (170ml) per hour whilst waiting in hospital for an elective CD planned under neuraxial anaesthesia. The water group represent the control or standard practice group as this is in line with current hospital policy.",[12],"Drug: The \"water group\"",{"label":14,"type":15,"description":16,"interventionNames":17},"'Sip Til Send' with carbohydrate-rich drinks","ACTIVE_COMPARATOR","the \"carbohydrate\" group will be encouraged to sip a standardised carbohydrate-rich drink ,flavoured clear, carbohydrate drink \" Nutricia preOp\".",[18],"Drug: The carbohydrate group represent the interventional group and will utilise the standard carbohydrate-rich drink",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"DRUG","The carbohydrate group represent the interventional group and will utilise the standard carbohydrate-rich drink","the \"carbohydrate\" group will be encouraged to sip a standardised carbohydrate-rich drink at a maximum rate of 1 cup (170ml) per hour, whilst waiting in hospital for an elective CD planned under neuraxial anaesthesia. Prior to their CD, any remaining drink will be weighed to calculate to volume consumed (assuming a liquid density of 1mg\u002Fml)",[14],null,{"type":21,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"The \"water group\"","women will be provided with a weighed jug of water which the participants may sip to comfort at a maximum rate of 1 cup (170ml) per hour",[9],[31],{"name":32,"role":33,"phone":34,"phoneExt":35,"email":36},"Ryan Howle, Consultant anaesthesiologist","CONTACT","0830851686","+353","rhowle@rotunda.ie",[38,63],{"facility":39,"status":40,"city":41,"state":42,"zip":43,"country":44,"countryCode":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":52},"Rotunda Hospital","NOT_YET_RECRUITING","Dublin","Ireland\u002FCounty Dublin","D01P5W9","Ireland","IE",{"type":47,"coordinates":48},"Point",[49,50],-6.24889,53.33306,{"lat":50,"lon":49},[53,56,59,61],{"name":54,"role":33,"phone":55,"phoneExt":35,"email":36},"Ryan Howle, Consultant anesthesiologist","(01)8171700",{"name":57,"role":58,"phone":25,"phoneExt":25,"email":25},"Francesco Vernace, NCHD Anaesthesiologist","PRINCIPAL_INVESTIGATOR",{"name":60,"role":58,"phone":25,"phoneExt":25,"email":25},"Lida Santoro, NCHD Anaesthesiologist",{"name":62,"role":58,"phone":25,"phoneExt":25,"email":25},"Mohamed Mostafa, Fellow Anaesthesiologust",{"facility":39,"status":64,"city":41,"state":25,"zip":65,"country":44,"countryCode":45,"cosmosGeoPoint":66,"geoPoint":68,"contacts":25},"RECRUITING","D01 P5W9",{"type":47,"coordinates":67},[49,50],{"lat":50,"lon":49},{"type":58,"investigatorFullName":70,"investigatorTitle":71,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"Ryan Howle","Consultant Anaesthesiologist","100624276","comparison-of-sip-til-send-regimens-prior-to-elective-caesarean-delivery-using-bedside-gastric-ultrasound-100624276",false,"NCT07407530","Comparison of 'Sip Til Send' Regimens Prior to Elective Caesarean Delivery Using Bedside Gastric Ultrasound","Comparison of 'Sip Til Send' Regimens Prior to Elective Caesarean Delivery Using Bedside Gastric Ultrasound: a Randomized Study Comparing Water With Carbohydrate-rich Drink","Inclusion Criteria:\n\n* Planned caesarean delivery under regional anaesthesia\n* Adhered to national fasting guidance of 6 hours for food and 2 hours for clear fluids\n* Eligible for Sip Til Send\n\nExclusion Criteria:\n\n* Planned general anaesthesia\n* Emergency or urgent caesarean delivery\n* Not fasted at time of recruitment\n* Unable to visualise stomach or Perlas 2 stomach identified at time of recruitment\n* Obesity of BMI \\>40\n* Previous upper GI or bariatric surgery\n* Age \\\u003C18 years\n* Insulin dependent diabetes mellitus (type 1 or 2)\n* Gestational diabetes","FEMALE","18 Years",{"count":82,"type":83},190,"ESTIMATED","INTERVENTIONAL",[86],"NA","'Sip Til send' is a liberal drinking policy that replaces fasting before a caesarean delivery, meaning that women waiting in hospital can freely drink sips of water until they are called from the ward for their delivery. Studies has shown that 'Sip Til send' is safe and it improves the experience around surgery. Separate from this, drinking carbohydrate-rich drinks at specified time intervals before surgery is also recommended by international guidelines as part of a package of care aimed at enhancing recovery from surgery, and studies demonstrate that carbohydrate drinks significantly lower hunger sensation before caesarean delivery. The aim of this study is to combine these two interventions and compare the effects of sipping water against sipping carbohydrate drinks whilst waiting for a caesarean delivery and look at the stomach contents before delivery to ensure it is a safe practice and look at how women rate the quality of their recovery to see which practice is preferred. We will recruit women due to have an elective caesarean delivery whilst awake with a spinal anaesthetic at the Rotunda Hospital and only include those who are fully fasted on their arrival and would be candidates for the current 'Sip Til Send' policy. They will then be assigned to one of two groups, the \"water\" group who will be encouraged to sip water whilst waiting for surgery, and the \"carbohydrate\" group who will be encouraged to sip a standardised carbohydrate-rich drink instead. Using a bedside ultrasound machine, we will image the stomach and estimate the volume of liquid contents on two occasions; first, following recruitment to the study when fully fasted and before starting 'Sip Til Send', and second is immediately prior to surgery. Fluid intake will be closely monitored, and all participants will be asked to complete a short questionnaire the day after their delivery that asks them to rate aspects of their recovery. Participants and their newborns will not undergo any additional invasive testing for the study. Participants and their newborns will not undergo any additional invasive testing for the study, but consent will be sought to test women's urine for ketones (collected from the catheter bag during surgery). Medical notes will also be looked at after discharge to identify adverse outcomes such as nausea or vomiting during surgery and low blood sugar in the newborn. The study should run for approximately 3 to 6 months.",[89,90,91],"Gastric Emptying","Caesarean Delivery","Pregnancy",[93,94,95,96,97],"gastric ultrasound","gastric emptying","cesarean section","pregnancy","fasting guidelines","2026-02-09",{"date":100,"type":101},"2026-02-12","ACTUAL",{"date":103,"type":101},"2025-08-01",{"date":105,"type":83},"2026-12",{"name":5,"class":6},2]