Using preoperative shock indexes to predict low blood pressure after spinal anesthesia for cesarean delivery
Official title: Predictive Performance of Preoperative Shock Index and Modified Shock Index for Hypotension Following Spinal Anesthesia in Elective Cesarean Surgery
Run by Marmara University · NCT07500519 · Data updated 2026-11-12
This study will see if simple blood-pressure-based shock indexes taken before surgery can predict which pregnant people having an elective cesarean with spinal anesthesia will develop low blood pressure after the block.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 300 (estimated) |
| Sponsor | Marmara University Academic / other |
| Locations | 1 site (Istanbul) |
| Status | Recruiting |
| Started | October 15, 2025 |
| Main results expected | August 30, 2026 |
| Study ends | August 30, 2026 |
| Registry record updated | March 30, 2026 |
| Trial ID | NCT07500519 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Pregnant people older than 18 years with ASA physical status II–III scheduled for elective cesarean section under spinal anesthesia (and with BMI ≤30) are ideal candidates.
✕Probably not a fit
Patients with ASA IV status, significant cardiovascular/respiratory/hepatic/renal/metabolic disease, BMI >30, mental incapacity, substance addiction, or those undergoing emergency cesarean or with massive bleeding/coagulopathy are unlikely to benefit from this study's findings.
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 enrolling pregnant people scheduled for elective cesarean delivery under spinal anesthesia. Preoperative Shock Index (SI) and Modified Shock Index (MSI) will be measured, and blood pressure and hemodynamic variables will be monitored throughout the perioperative period. Researchers will record occurrences and severity of post-spinal hypotension and analyze how well SI and MSI predict those events. The study aims to identify optimal cutoff values that could be used in clinical practice for risk stratification.
Why it matters
Potential benefit: If successful, this could help clinicians identify patients at higher risk for post-spinal hypotension so they can apply preventive measures to improve maternal and fetal safety.
How similar studies have gone: Prior observational studies have suggested that SI and MSI can predict post-spinal hypotension in obstetric populations, but results and optimal cutoff values have been variable and not universally adopted.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients over 18 years old * ASA II-III patients undergoing elective cesarean section Exclusion Criteria: * ASA IV patients * Patients with known neurologic or psychiatric disorders * Patients with clinically significant cardiovascular, respiratory, hepatic, renal or metabolic disease * Patients with alcohol or drug addiction * Mentally disabled patients * Patients with BMI\>30 * Patients who develop massive bleeding or coagulopathy
Where it's running
-
Marmara University School of Medicine
Istanbul, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Beliz Bilgili
- Email: belizbilgili@gmail.com
- Phone: +905362187927
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Pregnant Women Living with HIV on Bictegravir/Emtricitabine/Tenofovir Alafenamide
This study looks at how B/F/TAF is used in pregnant women with HIV and whether it helps maintain viral suppression from before conception through delivery.
-
Pelvic Floor Training and a Modified Lumbopelvic Belt for Symphysis Pubis Pain in Pregnancy
This study tests whether pelvic floor muscle training plus a modified lumbopelvic belt can reduce pain and improve function for pregnant women with symphysis pubis pain.
-
Effective Communication in VBAC Counseling
This study tests how clearly doctors and midwives explain VBAC options during prenatal visits and whether patients feel understood.
-
Innovative Multidisciplinary and Virtual Care for IBD in Pregnancy
This study tests a dedicated IBD pregnancy care model, including a new virtual approach, to see if it improves access and quality of care for pregnant people with Crohn's disease or ulcerative colitis.
-
Compare spinal-epidural versus general anesthesia for babies after cesarean delivery
This trial tests whether the type of anesthesia used for cesarean delivery affects newborn hearing in babies.
-
Modified Saddle Block vs Spinal Anesthesia for TURP
This study tests whether a modified saddle block or a standard spinal anesthesia better controls blood pressure during TURP for adults 40–90.
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.