Health Condition 1: 1- Health Condition 2: O82- Encounter for cesarean delivery without indication Health Condition 3: O82- Encounter for cesarean delivery without indication Health Condition 4: O82- Encounter for cesarean delivery without indication
Conditions
Interventions
Intervention1: Leg Wrapping: Both legs will be wrapped using 4-inch sterile crepe bandages from ankle to mid-thigh with uniform moderate pressure applied before administration of spinal anesthesia. St
Sponsors
Dr KUMARI NEHA
Eligibility
Inclusion criteria
Inclusion criteria: 1. Participants giving written informed consent for the study 2. Women aged 18 40 years 3. Term singleton pregnancy (greater than or equal to 37 weeks) 4. Participants classified as ASA Physical status II. 5. Scheduled for elective lower cesarean section under spinal anesthesia.
Exclusion criteria
Exclusion criteria: 1.Refusal or inability to provide well-informed written consent 2.Emergency cesarean section 3.Patients with ASA Physical Status III or IV, indicating significant systemic disease or complications 4.Multiple gestation or polyhydramnios 5.Contraindications to spinal anesthesia 6.Allergy to crepe bandage material 7.Use of medications that may interfere with blood pressure regulation (e.g., vasodilators, betablockers)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postspinal hypotensionTimepoint: From administration of spinal anesthesia until completion of surgery (blood pressure recorded every 3 minutes for the first 15 minutes and every 5 minutes thereafter until the end of surgery) | — |
Secondary
| Measure | Time frame |
|---|---|
| Severity of postspinal hypotensionTimepoint: From spinal anesthesia until completion of surgery;Total vasopressor (mephentermine) requirementTimepoint: During intraoperative period until completion of surgery;Colloid and blood product requirementsTimepoint: During surgery;Maternal hemodynamic parameters (systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate and oxygen saturation)Timepoint: Baseline, every 3 minutes for first 15 minutes after spinal anesthesia and every 5 minutes thereafter until completion of surgery;Incidence of adverse effects associated with leg wrappingTimepoint: Intraoperative period and PACU monitoring period up to 2 hours postoperatively | — |
Countries
India
Contacts
Public ContactDR AJAY KUMAR SINHA
GOVERNMENT MEDICAL COLLEGE , HALDWANI (UTTARAKHAND)
Outcome results
None listed