A study to assess decreased BP after giving spinal anaesthesia and how a positional change can prevent it.

Prevention of Post Spinal Anaesthesia Hypotension in Lower Segment Caesarean Section using Delayed Supine Positioning: A Comparative Study - NILL

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2026/03/105119

Enrollment

120

Registered

2026-03-02

Start date

Unknown

Completion date

Unknown

Last updated

2026-03-30

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

Conditions

Health Condition 1: O746- Other complications of spinal andepidural anesthesia during labor and delivery

Interventions

Intervention1: Delayed supine position: Delaying supine position in a patient by making them sit for 2 minutes and reducing post spinal hypotension Control Intervention1: Immediate supine positioning:

Eligibility

Inclusion criteria

Inclusion criteria: Patients who have given informed consent, ASA 1 and 2 fit patients, Singleton full-term patients posted for elective LSCS under spinal anaesthesia, hemodynamically stable patients with all investigations within normal limits,

Exclusion criteria

Exclusion criteria: Less than 18 yers of age, presence of foetal abnormalities, Obese patients, patients with pregnancy induced hypertensive disorders, patients with contraindications to spinal anaesthesia, patients with any previous cardiovascular, neurological, pulmonary and psychiatric disorders.

Design outcomes

Primary

Measure	Time frame
To assess post spinal anaesthesia hypotension in Lower Segment Caesarean Section using delayed supine positioning.Timepoint: Patients in control group will be made lie down two minutes after the administration of spinal anaesthesia and the control group will be made to lie down immediately following spinal anaesthesia and the following parameters will be observed: Hemodynamic changes-HR, SBP, DBP, MAP, SpO2 Level of block-Both sensory and motor The requirements of total dose of vasopressor given. Assessment of APGAR Score of the neonates at 1 and 5 minutes after birth. Any untoward effects	—

Measure

Time frame

To assess post spinal anaesthesia hypotension in Lower Segment Caesarean Section using delayed supine positioning.Timepoint: Patients in control group will be made lie down two minutes after the administration of spinal anaesthesia and the control group will be made to lie down immediately following spinal anaesthesia and the following parameters will be observed: Hemodynamic changes-HR, SBP, DBP, MAP, SpO2 Level of block-Both sensory and motor The requirements of total dose of vasopressor given. Assessment of APGAR Score of the neonates at 1 and 5 minutes after birth. Any untoward effects

—

Secondary

Measure	Time frame
To assess the effect of delayed supine positioning over post spinal anaesthesia hypotension.Timepoint: Vital assessment to be done at the beginning of the surgery, followed by 2,4,6,8,10,15,20,25,30,35,40 & 45 minutes with the APGAR Score measurement of neonates at 1min & 5 mins after birth, followed by any vasopressor used & and adverse effects.	—

Countries

India

Contacts

Public ContactDr Bhavini Shah

Dr. D.Y.Patil Medical College, Hospital and Research Centre

bhavini.shah@dpu.edu.in9850829994

Outcome results

None listed

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