Actively Recruiting

Age: 18Months - 45Months
FEMALE
NCT07499947

Predicting Spinal Hypotension in Cesarean Section

Led by TC Erciyes University · Updated on 2026-03-31

321

Participants Needed

1

Research Sites

37 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

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 obstetric anesthesia.

CONDITIONS

Official Title

Predicting Spinal Hypotension in Cesarean Section

Who Can Participate

Age: 18Months - 45Months
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • American Society of Anesthesiologists (ASA) Class II
  • Regular antenatal visits
  • Singleton pregnancy at 637 weeks of gestation or more
  • Pregnant women aged 18 to 45 years
Not Eligible

You will not qualify if you...

  • Eclampsia or preeclampsia
  • Emergency cesarean section
  • Bleeding disorders or receiving anticoagulant therapy
  • History of carotid artery stenosis
  • Cardiovascular disease
  • Hypertension
  • Chronic obstructive pulmonary disease
  • Heart rhythm other than sinus
  • History of cerebrovascular disease
  • Alcoholism or psychiatric illness
  • Placenta previa, accreta, or percreta

AI-Screening

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Trial Site Locations

Total: 1 location

1

University hospital

Kayseri, Turkey (Türkiye), 38050

Actively Recruiting

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Research Team

K

Kudret Dogru, 1

CONTACT

A

Aynur Karayo Akin, 2

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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