Supine Versus Left Lateral Tilted Position During Cesarean Delivery

Status Recruiting

Clinical Trial Summary

In this study, we will investigate the effect of left lateral tiling performed after spinal block on maternal hemodynamics compared to ordinary supine position

Clinical Trial Description

Maternal hypotension is a common complication after spinal anesthesia for cesarean delivery (CD). Aortocaval compression is one of the theoretical mechanisms precipitating for post-spinal hypotension (PSH) for CD. Positioning of the patients in the left lateral tilted position after preforming spinal block was frequently considered a standard protocol for minimizing aortocaval compression and improve maternal hemodynamics during CD; however, the latest Cochrane database review reported that there is no adequate evidence to support any positioning protocol for prevention of PSH. Moreover, a recent study was conducted in full term pregnant women reporting no improvement in cardiac output with left lateral tilting. In this study, the effect of left lateral tiling performed after spinal block on maternal hemodynamics will be compared to ordinary supine position. ;

Study Design

Related Conditions & MeSH terms

Cesarean Section Complications

Clinical Trial Details

NCT number	NCT03182114
Study type	Interventional
Source	Cairo University
Contact	Ahmed Shash, Professor
Phone	+201001033999
Email	shashahmed@gmail.com
Status	Recruiting
Phase	Phase 4
Start date	June 12, 2017
Completion date	January 20, 2019

View Details

See also
Status	Clinical Trial	Phase
Terminated	`NCT04377984` - Impact of a Strategy Combining Morphine Savings and Anesthesia Technique on the Quality of Post-operative Rehabilitation
Recruiting	`NCT03248817` - Phenylephrine Infusion in Cesarean Delivery	Phase 4
Completed	`NCT05037383` - Motion and Viewing Analysis of Surgeons During Minimally Invasive Gynecological Interventions	N/A
Not yet recruiting	`NCT05933993` - Mothers Experience of Pain Following Elective Cesarean Section. A Qualitative Study.
Recruiting	`NCT05021315` - Vaginal Cleaning Using Povidone Iodine Before CS to Reduce Postoperative Wound Infection	Phase 3
Terminated	`NCT03246919` - Ideal Time of Oxytocin Infusion During Cesarean Section	Phase 4
Recruiting	`NCT06247852` - Persistent Pain After Cesarean Delivery - A Danish Multicenter Cohort Study
Not yet recruiting	`NCT06017076` - Effect of Preoperative Oral Energy Drinks Compared to Warming Matress on Body Temperature During Combined Spinal-epidural Anesthesia for Elective Cesarean Delivery.	N/A
Completed	`NCT05005871` - Comparison of Quadratus Lumborum Intramuscular and Transmuscular in Postoperative Pain	N/A
Recruiting	`NCT04518176` - Bilateral Uterine Artery Ligation During the Cesarean Delivery of Twins	N/A
Not yet recruiting	`NCT04505644` - Lidocaine Patch Versus Intravenous Lidocaine in Pain Relief After Cesarean Section	N/A
Not yet recruiting	`NCT03985618` - The MODE Trial: Planned Caesarean Section Versus Induction of Labour for Women With Class III Obesity	N/A
Completed	`NCT04046510` - Comparaison of 3 Protocols of Ocytocin Administration in C Section	N/A
Completed	`NCT03302039` - Three Protocols for Phenylephrine Administration in Cesarean Delivery	Phase 4
Completed	`NCT03318536` - Effect of Granisetron on Usage of Sympathomimetics During Caesarean Section
Recruiting	`NCT03682510` - B-Lynch Transverse Compression Suture Versus a Sandwich Technique (N&H Technique) for Complete Placenta Previa	N/A
Recruiting	`NCT03651076` - Traxi Panniculus Retractor for Cesarean Delivery	N/A
Not yet recruiting	`NCT06060327` - Comparing Tranexamic Acid Versus Ecbolics in Preventing Hemorrhage During and After Cesarean Section	N/A
Completed	`NCT03701048` - Rectus Musle Reapproximation During Cesarean Section	N/A
Completed	`NCT04897841` - Obstetric Liposomal Bupivacaine Via Surgical Transversus Abdominis Plane Block for Post Cesarean Pain Control	Phase 4