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NCT06857162

Comparison of Maternal Hemodynamics During Spinal Anesthesia with Different Cesarean Delivery Positioning

Not yet recruiting NA Last updated 19 March 2025
What this trial tests

NA trial testing Positioninng during Cs in This Study Aims to Provide Evidence on Which Positioning Strategy Offers the Best Hemodynamic Outcomes in 216 participants. Not yet recruiting.

Timeline
25 April 2025
Primary endpoint
1 August 2025
1 September 2025

Quick facts

Lead sponsorAswan University
PhaseNA
StatusNot yet recruiting
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment216
Start date25 April 2025
Primary completion1 August 2025
Estimated completion1 September 2025
Sites1 location across Egypt

Drugs / interventions tested

Conditions studied

Sponsor

Aswan University

Who can join

Adults 20 to 40, female only, with This Study Aims to Provide Evidence on Which Positioning Strategy Offers the Best Hemodynamic Outcomes or Maternal Hemodynamic. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Cesarean delivery is a common surgical procedure, and maintaining maternal hemodynamic stability during the procedure is crucial for both maternal and fetal outcomes . Hemodynamic instability, such as hypotension following spinal anesthesia, is a frequent complication and can lead to adverse maternal and neonatal outcomes. Traditionally, after spinal anesthesia, women are positioned supine, sometimes with a slight left lateral tilt to mitigate the risk of aortocaval compression . However, recent studies and clinical observations suggest that delayed supine positioning-keeping the patient in a sitting or semi-sitting position for a period following spinal anesthesiamay improve hemodynamic stability. These alternative positions may help to mitigate the abrupt drop in blood pressure commonly seen after spinal anesthesia by allowing for a more gradual redistribution of blood volume . Understanding the optimal positioning strategy could lead to improved clinical protocols that enhance maternal and fetal safety. By comparing immediate supine positioning with delayed supine positioning (in sitting and semi-sitting positions), this study aims to provide evidence on which positioning strategy offers the best hemodynamic outcomes.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Post-spinal position and its impact on hemodynamic, block height, and comfort in caesarean delivery: A randomized assessor-blinded trial.
    Mohamady Eldemrdash A, Elabd Hassan I, Youssef Mohamed A, Ahmed Raslan HM. · · 2026 · PMID 41871806 · DOI 10.1016/j.redare.2026.502089

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