A comparative study to identify the effect of using different angle wedges on inferior vena cava diameter in elective lower segment cesarean section-A single blinded study

A comparative study of the effect of different angled wedges on the inferior vena cava diameter assessed by ultrasound in pregnant patients for elective lower segment cesarean section-A randomized single blinded study. - Nil

Status

Active, not recruiting

Phases

Phase 2Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/01/061070

Enrollment

Registered

2024-01-02

Start date

Unknown

Completion date

Unknown

Last updated

2024-08-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O983- Other infections with a predominantly sexual mode of transmission complicating pregnancy, childbirth and the puerperium Health Condition 2: O00-O9A- Pregnancy, childbirth and the puerperium

Interventions

Intervention1: 20 degree wedge: Patient in supine position IVC diamter and NIBP,SPO2,MAP,HR measured then patient is turned from lateral to Supine position and using a 20 degree wedge in pregnant pat

Eligibility

Inclusion criteria

Inclusion criteria: Pregnant woman with a gestational age of 37 weeks and above ASA II Primgravida or multigravida Previous LSCS

Exclusion criteria

Exclusion criteria: Hypertension Cardiac disease Renal disease Multiple gestation BMI more than 35 Patient refusal

Design outcomes

Primary

Measure	Time frame
To compare the inferior vena cava diameter with wedge 20 , 30 degree for term patients from 36 weeks of gestation till 40 weeks +5 days posted for elective cesarean section Timepoint: To compare the effect of using wedge 20 , 30 degree on inferior vena cava diameter after 10 minutes from baseline for patients posted for elective lower segment section in term patients from 36 weeks to 40 weeks +5 days	—

Measure

Time frame

To compare the inferior vena cava diameter with wedge 20 , 30 degree for term patients from 36 weeks of gestation till 40 weeks +5 days posted for elective cesarean section Timepoint: To compare the effect of using wedge 20 , 30 degree on inferior vena cava diameter after 10 minutes from baseline for patients posted for elective lower segment section in term patients from 36 weeks to 40 weeks +5 days

—

Secondary

Measure	Time frame
1) mean arterial pressure 2) heart rate 3) rescue process used.Timepoint: 1) every two minutes MAP is monitored after spinal anaesthesia in both groups till delivery of baby 2) change in heart rate monitored for every two minutes 3) rescue process phenylephrine used when there is decrease in 10% MAP from baseline.	—

Countries

India

Contacts

Public ContactDr MAHESH VAKAMUDI

Sri Ramachandra iInstitute of Higher Education and Research

vakamudi@gmail.com9840022626

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026