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Predicting Spinal Hypotension in Cesarean Section

Recruitingn/aAges 18 Months - 45 MonthsFemaleTC Erciyes University
NCT07499947 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This prospective observational study investigates the predictive value of anthropometric and hemodynamic indices for spinal anesthesia-induced hypotension (SAIH) during cesarean section. While spinal anesthesia is preferred for its rapid onset, SAIH remains a frequent complication risking maternal and fetal safety. The study enrolled parturients at Erciyes University, excluding those with hypertension or extreme weight/height. Preoperative measurements included BMI, waist circumference (WC), body roundness index (BRI), and modified shock index (MSI). Following standardized spinal anesthesia with hyperbaric bupivacaine (Harten's dosage), hemodynamic parameters and sensory block levels were monitored. This research aims to determine whether BRI and WC offer superior predictive utility compared with conventional markers such as BMI and MSI to enhance individualized risk assessment in obstet

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📋 Eligibility rules (as published)
Inclusion Criteria: 1. American Society of Anesthesiologists (ASA) Class II 2. Having regular antenatal visits 3. Singleton pregnancy at ≥37 weeks of gestation 4. Pregnant women aged 18-45 - Exclusion Criteria: 1. Those with eclampsia, those with preeclampsia 2. Undergoing an emergency cesarean section 3. Those with bleeding diathesis and those receiving anticoagulant therapy 4. With a history of carotid artery stenosis, 5. Cardiovascular disease, 6. Hypertension, 7. Chronic obstructive pulmonary disease, 8. Heart rhythm outside of sinus 9. Patients with a history of cerebrovascular disease 10. Alcoholism or psychiatric illness 11. Placenta previa, accreta, and percreta
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What it tests

  • Not listed
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Where

1 site
University hospital
Kayseri, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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