spinal anesthesia induced hypotension. Other complications of spinal and epidural anaesthesia during labour and delivery
Conditions
Interventions
Intervention 1: Intervention group: Immediately after spinal anesthesia injection, a wedge with 30 cm height will be inserted under both ankles until skin incision. Intervention 2: Control group: Imme
Sponsors
Hamedan University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: All of the ASA 1 aged 18-45 yr healthy parturients Single tone term parturients Referred to Fatemieh hospital for elective Cesarean section
Exclusion criteria
Exclusion criteria: Exclusion criteria: chronic hypertension; ; ;, ; allergy to drugs; ; renal disease and pre eclampsia twin pregnancy preterm labor allergy to drugs cardiovascular and pulmonary disease Renal Disease previous abdominal surgeries with adhesion band and fibrosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Spinal anesthesia induced blood pressure change. Timepoint: before performing spinal anesthesia, every 2 minutes until delivery and then every 5 minutes until the end of surgery. Method of measurement: blood pressure was measured with automatic blood pressure device and hypotension was defined as more than 20% decrease of BP compared to baseline. | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate. Timepoint: before performing spinal anesthesia and then every 5 minutes until the end of surgery. Method of measurement: Electrocardiogram monitoring.;Nausea. Timepoint: every 5 minutes until the end of surgery Method of measurement. Method of measurement: observation.;Vomiting. Timepoint: every 5 minutes until the end of surgery. Method of measurement: observation.;Rescue vasopressor dose. Timepoint: at the end of surgery. Method of measurement: measurement.;Neonatal condition. Timepoint: at min 1 and 5 after birth. Method of measurement: Apgar score measurements by observation and physical examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMahshid Nikooseresht
Hamedan University of Medical Sciences
Outcome results
None listed