Passive Leg Elevation to Prevent Newborn Low APGAR and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean Section

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Anesthesiology and Critical Care, School of Medicine AND Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of Gynecology and Obstetrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Student of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Hypotension occurs significantly during cesarean operation with spinal anesthesia. This side-effect can be harmful to the mother and the fetus. In this study, impact of passive leg elevation maneuver on prevention of mother hypotension and newborn APGAR index was examined.Methods: Totally, 105 mothers, in three groups of 35, were examined with different leg angles after spinal anesthesia and the impact of these maneuvers on pulse rate, mother blood pressure and APGAR index was checked.Findings: The relative rates of mother hypotension, relative rates of nausea and vomiting during and after working, mean of need to ephedrine between the 3 groups, and newborn APGAR indexes in the first and fifth minutes in each group were significantly different. Mean maximum and minimum mother pulse rate, the mean interval time between applying spinal anesthesia and the occurrence of the mother hypotension, and newborn APGAR indexes were not significantly different between the 3 groups.Conclusion: This study shows that increasing the angle of leg after spinal anesthesia has impact on consequences of hypotension. 

Keywords

References

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Journal of Isfahan Medical School
Volume 32, Issue 299 - Serial Number 299
July and August 2014
Pages 1363-1370

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History

  • Receive Date: 30 April 2013
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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