Extra Sitting Time After Spinal Anesthesia for Cesarean Section and Fetal Well-being

University of Texas Southwestern Medical Center

Overview

After injection of the spinal anesthetic drug, women will be allowed to lie down immediately (0-30 sec) or after three minutes (180 sec) of sitting. The incidence of maternal hypotension and fetal umbilical cord blood pH will be recorded.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Conditions

Complications; Cesarean Section Hypotension

Interventions

Various sitting timeOTHER

Various sitting time

Eligibility

Sex: FEMALE

Medical Language ↔ Plain English

Inclusion Criteria: * Women with elective cesarean delivery at 39-42 wks gestation. Exclusion Criteria: * Women who shorter than 5'0" in height, those with primary or pregnancy-induced hypertension, macrosomia, multiple gestation will be excluded. * Women with known risks of bleeding or potential hysterectomy such as those with placenta previa or accrete will also be excluded. * If the epidural catheter cannot be placed within the specific time frame after the spinal injection, the case will be excluded.

Locations (1)

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Outcomes

Primary Outcomes

Incidence of fetal umbilical artery pH below 7.20

Time frame: At fetal delivery

Secondary Outcomes

Incidence of maternal hypotension

Time frame: During cesarean surgery

Data from ClinicalTrials.gov

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