Abdominal Circumference Measure in Caesarian Section

CHU Mohammed VI Marrakech124 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

124

Conditions

Anesthesia, Spinal Cesarean Section

Interventions

Measure of abdominal circumference

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Number of patients with difficult spinal anesthesia

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

Time frame: During surgery

Secondary Outcomes

Rate of Maternal hypotension

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

Time frame: The first hour after spinal anesthesia is performed