Abdominal Circumference Measure in Caesarian Section

Completed

• Conditions: Anesthesia, Spinal; Cesarean Section

• Registration Number: NCT06357637
• Lead Sponsor: CHU Mohammed VI Marrakech

Brief Summary

The goal of this observational study is to evaluate preoperative measures of abdominal circumference in patients admitted for a cesarean section. The main questions it aims to answer are:

* Can preoperative abdominal circumference predict patients with difficult spinal anesthesia

* Can preoperative abdominal circumference predict the occurrence of maternal hypotension during cesarean section Participants will be examined preoperatively in terms of visibility and palpation of spinous processes, abdominal circumference will be measured in the supine and sitting positions with other clinical parameters. Spinal anesthesia will be performed by the same experienced anesthesiologist with a standardized procedure. The number of skin punctures, needle reorientations, traumatic Cerebrospinal fluid, need for a paramedian approach or failure will be recorded. Maternal blood pressure and vasopressor requirements will also be monitored.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-12-01
• Study First Submitted: 2024-01-23
• Study First Submitted QC: 2024-04-06
• Study First Posted: 2024-04-10
• Primary Completion: 2024-05-01
• Study Completion: 2024-05-31
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-24
• Last Update Posted: 2024-07-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 124

Inclusion Criteria

• Parturients admitted for elective or emergency cesarean section

Exclusion Criteria

• Acute fetal distress
• Umbilical cord prolapse
• Scoliosis
• Contraindication to spinal anesthesia
• Medical history of spinal surgery American Society of Anesthesia Status 4 or 5

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Number of patients with difficult spinal anesthesia	During surgery	More than two needle reorientations in the first puncture or more than one skin puncture

Secondary Outcome Measures

Name	Time	Method
Rate of Maternal hypotension	The first hour after spinal anesthesia is performed	Systolic blood pressure below 90 mmHg or a drop of more than 20% of base value

Trial Locations

Locations (1)

CHU Mohammed VI; 🇲🇦 Marrakech, Morocco