Hypotension
Conditions
Brief summary
Maternal hypotension is a common problem during cesarian section under spinal anesthesia. The possible explanation for this is combined aortocaval compression by gravid uterus in parturient in addition to reduced systemic vascular resistance by spinal anesthesia. The investigators evaluated if the incidence of hypotension would be decreased by delayed supine positioning, by maintaining lateral position for 6 min after spinal injection, in patients undergoing elective cesarean section.
Interventions
OTHERlateral positioning
the lateral position was maintained for 6 min after spinal injection before patients were turned to the supine position
Sponsors
Seoul National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
28 Years to 44 Years
Healthy volunteers
No
Inclusion criteria
* singleton parturients undergoing elective cesarean section * gestational age over 37 weeks
Exclusion criteria
* pregnancy with hypotension * expecting fetal depression
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| hypotension | after intrathecal injection until delivery (for 20 minutes) | hypotension incidence after intrathecal injection until baby delivery. Monitoring about for 20 minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sensory block level | during cesarean section | highest sensory block level after intrathecal injection |
Outcome results
None listed