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OpenTrials
Completed

NCT Number: NCT06357637

Abdominal Circumference Measure in Caesarian Section

The goal of this observational study is to evaluate preoperative measures of abdominal circumference in patients admitted for a cesarean section. The main questions it aims to answer are:

* Can preoperative abdominal circumference predict patients with difficult spinal anesthesia * Can preoperative abdominal circumference predict the occurrence of maternal hypotension during cesarean section Participants will be examined preoperatively in terms of visibility and palpation of spinous processes, abdominal circumference will be measured in the supine and sitting positions with other clinical parameters. Spinal anesthesia will be performed by the same experienced anesthesiologist with a standardized procedure. The number of skin punctures, needle reorientations, traumatic Cerebrospinal fluid, need for a paramedian approach or failure will be recorded. Maternal blood pressure and vasopressor requirements will also be monitored.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Observational

Primary location

CHU Mohammed VI

Marrakesh, 40000, Morocco

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Parturients admitted for elective or emergency cesarean section

Exclusion criteria

  • Acute fetal distress
  • Umbilical cord prolapse
  • Scoliosis
  • Contraindication to spinal anesthesia
  • Medical history of spinal surgery American Society of Anesthesia Status 4 or 5

Treatment and study plan

Measure of abdominal circumference

Diagnostic Test

Measure of abdominal circumference preoperatively in both sitting and lying position

Primary outcomes

  1. Number of patients with difficult spinal anesthesia

    Time frame: During surgery

    More than two needle reorientations in the first puncture or more than one skin puncture

Secondary outcomes

  1. Rate of Maternal hypotension

    Time frame: The first hour after spinal anesthesia is performed

    Systolic blood pressure below 90 mmHg or a drop of more than 20% of base value

Sponsors and collaborators

Lead sponsor

CHU Mohammed VI Marrakech

Other

Registry information

Official study title

Preoperative Measurement of Abdominal Circumference as a Predictor of Difficult Spinal Anesthesia and Maternal Hypotension During Caesarian Section

Acronym: ACirCuS

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Apr 10, 2024
Registry last updated
Jul 26, 2024

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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