Delayed Positioning in Cesarean Section

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.

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Key information

Conditions

Hypotension Cardiovascular Diseases Vascular Diseases

Age range

28 year–44 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

singleton parturients undergoing elective cesarean section
gestational age over 37 weeks

Exclusion criteria

pregnancy with hypotension
expecting fetal depression

Treatment and study plan

lateral positioning

Other

the lateral position was maintained for 6 min after spinal injection before patients were turned to the supine position

Primary outcomes

hypotension

Time frame: after intrathecal injection until delivery (for 20 minutes)

hypotension incidence after intrathecal injection until baby delivery. Monitoring about for 20 minutes

Secondary outcomes

sensory block level

Time frame: during cesarean section

highest sensory block level after intrathecal injection

Interested in participating?

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Sponsors and collaborators

Lead sponsor

Seoul National University Hospital

Other

Registry information

Important dates

Study start: 2007
Primary completion: 2008
Study completion: 2008
First posted: Mar 30, 2010
Registry last updated: Apr 12, 2010

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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