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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


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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