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Delayed Positioning in Cesarean Section

Primary Purpose

Hypotension

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
lateral positioning
Sponsored by
Seoul National University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Hypotension

Eligibility Criteria

28 Years - 44 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • singleton parturients undergoing elective cesarean section
  • gestational age over 37 weeks

Exclusion Criteria:

  • pregnancy with hypotension
  • expecting fetal depression

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    No Intervention

    Experimental

    Arm Label

    standard

    lateral

    Arm Description

    parturients were placed back to the supine position immediately after spinal injection following standard protocol of spinal anesthesia

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

    Outcomes

    Primary Outcome Measures

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

    Secondary Outcome Measures

    sensory block level
    highest sensory block level after intrathecal injection

    Full Information

    First Posted
    March 22, 2010
    Last Updated
    April 9, 2010
    Sponsor
    Seoul National University Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01095315
    Brief Title
    Delayed Positioning in Cesarean Section
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2010
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2007 (undefined)
    Primary Completion Date
    July 2008 (Actual)
    Study Completion Date
    September 2008 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Seoul National University Hospital

    4. Oversight

    5. Study Description

    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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hypotension

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    86 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    standard
    Arm Type
    No Intervention
    Arm Description
    parturients were placed back to the supine position immediately after spinal injection following standard protocol of spinal anesthesia
    Arm Title
    lateral
    Arm Type
    Experimental
    Arm Description
    the lateral position was maintained for 6 min after spinal injection before patients were turned to the supine position
    Intervention Type
    Other
    Intervention Name(s)
    lateral positioning
    Intervention Description
    the lateral position was maintained for 6 min after spinal injection before patients were turned to the supine position
    Primary Outcome Measure Information:
    Title
    hypotension
    Description
    hypotension incidence after intrathecal injection until baby delivery. Monitoring about for 20 minutes
    Time Frame
    after intrathecal injection until delivery (for 20 minutes)
    Secondary Outcome Measure Information:
    Title
    sensory block level
    Description
    highest sensory block level after intrathecal injection
    Time Frame
    during cesarean section

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    28 Years
    Maximum Age & Unit of Time
    44 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: singleton parturients undergoing elective cesarean section gestational age over 37 weeks Exclusion Criteria: pregnancy with hypotension expecting fetal depression

    12. IPD Sharing Statement

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    Delayed Positioning in Cesarean Section

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