Post Spinal Anesthesia Hypotension. Other complications of spinal and epidural anaesthesia during the puerperium
Conditions
Interventions
Intervention 1: Intervention: use of compression stockings for wearing the legs. Intervention 2: Control:Not use of compression stockings and doing routine care.
Prevention
Intervention: use of compression stockings for wearing the legs.
Control:Not use of compression stockings and doing routine care.
Sponsors
Vice chancellor for research ofalborz university of medical sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Inclusion criteria: no history of cardiovascular diseases; no history of primary hypertension; no eclampsia and pre-eclampsia; use of a unique protocol for administration of fluid therapy in the preoperative phase; surgery should be done by surgeons with comparable experience who often do cesarean section by similar method and in similar time frame; non-obesity based on calculating the overweight at the week 12 of pregnancy (body mass index over 40); doing spinal anesthesia by using a specific needle type and a specific needle size and by an anesthesiologist at a certain level of sensory block; Use a specific protocol for administration of fluid therapy and intravenous anesthetic (drug calculation according to the mother’s weight, drug type and prescription time); using a calibrated pressure gauge to measure blood pressure. Exclusion criteria: Failure to perform the procedure and trying to insert of spinal needle for several times; Occurrence of intraoperative complications related to surgery and anesthesia such as bleeding, respiratory difficulties and so on .
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post spinal anesthesia hypotension. Timepoint: pre and post spinal anesthesia with interval of 5 min until delivery to recovery room. Method of measurement: By standard sphygmomanometer.;Dosage and frequency of ephedrine administration. Timepoint: After intervention based on demand. Method of measurement: calculate of frequency and dosage of ephedrine administration. | — |
Secondary
| Measure | Time frame |
|---|---|
| Mother pulse rate. Timepoint: pre and post spinal with duration of 5 min until delivery to recovery. Method of measurement: mother pulse count by use of standard monitor. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactLeila Sadati
Alborz University of Medical Sciences
Outcome results
None listed