Predicting low blood pressure from spinal anesthesia during cesarean section

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective observational study of term parturients undergoing elective cesarean with standardized spinal anesthesia using hyperbaric bupivacaine. Before anesthesia, investigators recorded anthropometric measures (BMI, waist circumference, body roundness index) and hemodynamic indices including the modified shock index; intraoperative blood pressure, heart rate, and sensory block levels were then monitored. Women with hypertension, major cardiovascular or cerebrovascular disease, emergency cesarean, placenta accreta spectrum, or on anticoagulants were excluded. The main aim was to compare whether BRI and waist circumference predict spinal anesthesia–induced hypotension better than conventional markers such as BMI or MSI.

Why it matters

Who can join: the full rules

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

Where it's running

• University hospital
  Kayseri, Turkey (Türkiye) Recruiting

Study contacts

• Principal investigator: Kudret Doğru, 1 — TC Erciyes University
• Study coordinator: Kudret Dogru, 1
• Email: kdogru@erciyes.edu.tr
• Phone: +905334735112

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.