Comparison of Two Anesthesia Methods in Cesarean Section: Epidural and Spinal

Comparison of single-shot epidural and spinal anesthesia in elective caesarean section in terms of hemodynamic changes and surgeon satisfaction.

Status

Recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT20091117002723N5

Enrollment

Registered

2024-11-12

Start date

2024-12-01

Completion date

Unknown

Last updated

2025-01-08

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

Conditions

Cesarean section. Encounter for cesarean delivery without indication

Interventions

Intervention 1: Control group: The first group, after the necessary preparations and pre-operative assessments, is positioned seated. Using a 27-gauge spinal needle and the median approach at the L3-L

Eligibility

Sex/Gender

All

Age

18 Years to 40 Years

Inclusion criteria

Inclusion criteria: Adult women with ASA grade I (American Society of Anesthesiology classification) Women having elective caesarean section under spinal anesthesia Women between 18 and 44 years old

Exclusion criteria

Exclusion criteria: Adult women with ASA grade II, III or IV (American Society of Anesthesiology classification) Emergency caesarean section Pregnancy Induced Hypertension Hemodynamic instability Multiple pregnancy History of drug use and addiction Fetal distress Eclamptic level of consciousness disorder (seizures, pulmonary edema, headache, visual disturbances)

Design outcomes

Primary

Measure	Time frame
Pain. Timepoint: During operation and at 2, 4, 6, 12, 24 hours after surgery. Method of measurement: Questionnaire and Numerical Pain Rating Scale (NRS).;Consent of the surgeon. Timepoint: At the end of surgery. Method of measurement: Score 8-10: very high satisfaction, the surgeon is satisfied with all aspects of the operation.6-7 score: high satisfaction, the surgeon is satisfied with most aspects of the operation. Score 4-5: average satisfaction, the surgeon is satisfied with some aspects of the operation.2-3 score: low satisfaction, the surgeon is dissatisfied with some aspects of the operation.0-1 score: very low satisfaction, the surgeon is dissatisfied with most or all aspects of the procedure.;Heart rate. Timepoint: Prior to the commencement of anesthesia, during the surgical procedure, and subsequently at 2, 4, 6, 12, and 24 hours following the completion of the surgery. Method of measurement: Monitoring.;Blood Pressure. Timepoint: Prior to the commencement of anesthesia, during the surgical procedure, and subsequently at 2, 4, 6, 12, and 24 hours following the completion of the surgery. Method of measurement: Monitoring.	—

Measure

Time frame

Pain. Timepoint: During operation and at 2, 4, 6, 12, 24 hours after surgery. Method of measurement: Questionnaire and Numerical Pain Rating Scale (NRS).;Consent of the surgeon. Timepoint: At the end of surgery. Method of measurement: Score 8-10: very high satisfaction, the surgeon is satisfied with all aspects of the operation.6-7 score: high satisfaction, the surgeon is satisfied with most aspects of the operation. Score 4-5: average satisfaction, the surgeon is satisfied with some aspects of the operation.2-3 score: low satisfaction, the surgeon is dissatisfied with some aspects of the operation.0-1 score: very low satisfaction, the surgeon is dissatisfied with most or all aspects of the procedure.;Heart rate. Timepoint: Prior to the commencement of anesthesia, during the surgical procedure, and subsequently at 2, 4, 6, 12, and 24 hours following the completion of the surgery. Method of measurement: Monitoring.;Blood Pressure. Timepoint: Prior to the commencement of anesthesia, during the surgical procedure, and subsequently at 2, 4, 6, 12, and 24 hours following the completion of the surgery. Method of measurement: Monitoring.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactElnaz Rahimi

Shiraz University of Medical Sciences

hasheminasabm@yahoo.com+98 71 3647 4270

Outcome results

None listed

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