N/A
N=196
Effect of Intra-abdominal Pressure to the Level of the Sensory Block at Caesarean Section Under Spinal Anesthesia
Obstetric Anesthesia Problems · High-Risk Pregnancy
Bottom Line
View on ClinicalTrials.gov: NCT02237092 ↗Enrolled (actual)
196
Serious AEs
20.4%
Results posted
Oct 2014
Primary outcome: Primary: The Level of Intra-abdominal Pressure (IAP) — 15.33 mm Hg
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Measurement of IAP (Procedure)
- Age
- Pediatric, Adult, Older Adult
- Sex
- Female
- Sponsor
- Tver Regional Perinatal Center
- Primary completion
- Jan 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Level of Intra-abdominal Pressure (IAP) |
15.33 | — |
| PRIMARY Classification Grade of Intra-abdominal Hypertension (IAH) |
11.60; 14.11; 17.43; 21.56 | — |
| PRIMARY Obesity and IAP |
14.61; 16.06 | <0.001 sig |
| SECONDARY Level of Sensory Blocks |
3.5; 5.8 | <0.001 sig |
| SECONDARY The Level of IAP |
16.5; 14.0 | <0.02 sig |
| SECONDARY Number of Pregnants With Blocks = > Th4 With IAP Higher or Less Than 16 mm Hg |
29; 33 | <0.05 sig |
Summary
It is known that an increase in intra-abdominal pressure (IAP) causes a decrease in the volume of cerebrospinal fluid in the lumbar and lower thoracic region, which may contribute to the development of more high spinal block.
Eligibility Criteria
Inclusion Criteria
- Gestational age 36 - 40 weeks
- Singleton pregnancies
- Elective caesarean section
Exclusion Criteria
- Gestational age <= 35 weeks
- Twins pregnancies
- Disease the cardiovascular system (hypertension, etc.)
- Non-elective caesarean section
Data sourced from ClinicalTrials.gov (NCT02237092). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.