This study is a randomized,double blind,interventional controlled study.The aim of study : To deyermine anxiolytic efficacy of midazolam administered pre operatively,in patients of cesarean section and to evaluate whether its administration impacts neonatal vitality,maternal consciousness and recall of moment the baby was born.

patient will be received in the OT,patients will be identified PAC,informed written consent and fasting status will be checked

following data will be recorded - age ,weight,height,parity,caesarean deliveries , gestational age 

pre operative vitals will be recorded (HR,SBP.DBP,SPO2)

18G iv line will be secured in upper limb and ringer lactate solution will be started

perform visual facial anxiety scale score for level of anxiety assessment 

randomisation and allocation

 GROUP A    (n=80)                                                                   GROUP B (n=80)

MIDAZOLAM GROUP                                                 CONTROL GROUP

will receive single intravenous bolus                            will receive intravenous an identical volume of 0.9%saline as placebo solution

dose of midazolam of 0.0125mg/kg 

administration of solution occur in the interval between randiomisation and positioning the patient for spinal anaesthesia

spinal anaesthesia performed with patient in a sitting position with a 25G quincke type needle by injection 0.5% hyperbaric bupivacaine 2ml

visual facial anxiety scale score assessment at 5 min, 15min,15min

5 minutes after level of sedation by ramsay scale

apgar score at 1st and 5 th minute will be noted

intraoperative vital parameters will be recorded at 5 min interval 

at the last, the mother will be asked about recall of moments of birth(at time of presentation and 90 minutes after time of birth)