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

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