Compare two norepinephrine doses to prevent low blood pressure after spinal anesthesia for C-section
Official title: The Effect of Two Different Doses of Noradrenaline on Hypotension Caused by Spinal Anesthesia for Cesarean Section
Run by Assiut University · NCT06102382 · Data updated 2026-11-12
This study will see if two different infusion rates of norepinephrine can prevent low blood pressure in women having a planned cesarean delivery with spinal anesthesia.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 19 Years to 40 Years |
| Sex | Women only |
| Enrollment | 100 (estimated) |
| Sponsor | Assiut University Academic / other |
| Locations | 1 site (Asyut) |
| Status | Recruiting |
| Started | September 1, 2024 |
| Main results expected | October 1, 2025 |
| Study ends | December 1, 2025 |
| Registry record updated | August 29, 2025 |
| Trial ID | NCT06102382 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Pregnant women at term (≥37 weeks) scheduled for elective cesarean under spinal anesthesia who do not have cardiac disease, hypertensive disorders of pregnancy, severe obesity, or contraindications to spinal anesthesia.
✕Probably not a fit
Women with cardiac morbidities, hypertensive pregnancy disorders, severe obesity (BMI ≥40), significant prepartum hemorrhage, or those who decline spinal anesthesia would not be candidates and are unlikely to benefit from this comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-center interventional study compares two prophylactic norepinephrine infusion rates given around the time of spinal anesthesia for planned cesarean delivery. Eligible term pregnant women without major cardiac disease, hypertensive disorders, severe obesity, or contraindications to spinal anesthesia will receive one of the two norepinephrine regimens during the operation. Maternal blood pressure, need for rescue vasopressors, and common side effects such as nausea, bradycardia, or hypertension will be recorded and compared between groups. The goal is to identify which infusion rate better prevents post-spinal hypotension with acceptable safety.
Why it matters
Potential benefit: If successful, the preferred norepinephrine dose could reduce episodes of maternal low blood pressure during cesarean delivery and decrease the need for rescue medications and associated symptoms.
How similar studies have gone: Previous small studies and clinical reports have shown promising results with norepinephrine for preventing post-spinal hypotension, but the optimal prophylactic dose has not been established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pregnant women scheduled for cesarean section under spinal anesthesia * Gestational age of at least 37 weeks Exclusion Criteria: * Patient refusal * Contraindications of spinal anesthesia * Allergy to the study drug * Height\<150 cm, weight \< 60 kg, body mass index (BMI) ≥40 kg/m2. * patients with cardiac morbidities * Hypertensive disorders of pregnancy. * Prepartum hemorrhage
Where it's running
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Assiut University Woman Health Hospital
Asyut, Egypt Recruiting
Study contacts
- Study coordinator: Zakaria A. Zakaria
- Email: za6841924@gmail.com
- Phone: +201150637566
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.