Effect of Lower Limb Compression Stockings on Hemodynamic Stability in Obstetric Patients undergoing Lower Segment Cesarean Section under Spinal Anaesthesia

Objective: To compare the effects of lower limb compression stockings and control in terms of frequency of bradycardia, hypotension and hypotensive symptoms in a group of obstetric patients undergoing lower segment cesarean section under spinal anaesthesia. Study Design: Quasi-experimental study...

Full description

Bibliographic Details
Main Authors: Iftikhar Ali, Hina Iftikhar, Habib Ur Rahman, kaukab Majeed, Usman khalid, Hira Latif
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-04-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/8109
_version_ 1797826690243624960
author Iftikhar Ali
Hina Iftikhar
Habib Ur Rahman
kaukab Majeed
Usman khalid
Hira Latif
author_facet Iftikhar Ali
Hina Iftikhar
Habib Ur Rahman
kaukab Majeed
Usman khalid
Hira Latif
author_sort Iftikhar Ali
collection DOAJ
description Objective: To compare the effects of lower limb compression stockings and control in terms of frequency of bradycardia, hypotension and hypotensive symptoms in a group of obstetric patients undergoing lower segment cesarean section under spinal anaesthesia. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anesthesiology Combined Military Hospital, Multan Pakistan, from Aug 2020 to Feb 2021. Methodology: One hundred women undergoing cesarean section under spinal anaesthesia from 18-45 years were included. Obstetric patients between 18–45 years of age, Non-labouring parturient, ASA Status I / II planned for Caesarean section were included. Patients were randomly divided into two treatment groups, i.e., Mechanical pump Group (Group M) and the Control Group (Group C), with Consecutive Non-probability sampling. The frequency of hypotensive symptoms, hypotension and bradycardia in both groups was noted. Results: Frequency of hypotensive symptoms, hypotension and bradycardia in the compression stockings group was found in 18(36.0%), 8(16.0%) and 11(22.0%) patients while in 38(76.0%), 32(64.0%) and 30(60.0%) patients in the control group (p-value = 0.0001). Conclusion: We concluded that the frequency of hypotensive symptoms, hypotension and bradycardia is less after lower limb compression stockings given to obstetric patients undergoing lower-segment cesarean section under spinal anaesthesia.
first_indexed 2024-04-09T12:36:26Z
format Article
id doaj.art-673bdb35db7c4aeabf515db4b67526fe
institution Directory Open Access Journal
issn 0030-9648
2411-8842
language English
last_indexed 2024-04-09T12:36:26Z
publishDate 2023-04-01
publisher Army Medical College Rawalpindi
record_format Article
series Pakistan Armed Forces Medical Journal
spelling doaj.art-673bdb35db7c4aeabf515db4b67526fe2023-05-15T09:44:31ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-04-0173210.51253/pafmj.v73i2.8109Effect of Lower Limb Compression Stockings on Hemodynamic Stability in Obstetric Patients undergoing Lower Segment Cesarean Section under Spinal AnaesthesiaIftikhar Ali0Hina Iftikhar1Habib Ur Rahman2kaukab Majeed3Usman khalid4Hira Latif5Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital, Multan/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital, Multan/National University of Medical Sciences (NUMS) PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital, Bannu/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan Objective: To compare the effects of lower limb compression stockings and control in terms of frequency of bradycardia, hypotension and hypotensive symptoms in a group of obstetric patients undergoing lower segment cesarean section under spinal anaesthesia. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anesthesiology Combined Military Hospital, Multan Pakistan, from Aug 2020 to Feb 2021. Methodology: One hundred women undergoing cesarean section under spinal anaesthesia from 18-45 years were included. Obstetric patients between 18–45 years of age, Non-labouring parturient, ASA Status I / II planned for Caesarean section were included. Patients were randomly divided into two treatment groups, i.e., Mechanical pump Group (Group M) and the Control Group (Group C), with Consecutive Non-probability sampling. The frequency of hypotensive symptoms, hypotension and bradycardia in both groups was noted. Results: Frequency of hypotensive symptoms, hypotension and bradycardia in the compression stockings group was found in 18(36.0%), 8(16.0%) and 11(22.0%) patients while in 38(76.0%), 32(64.0%) and 30(60.0%) patients in the control group (p-value = 0.0001). Conclusion: We concluded that the frequency of hypotensive symptoms, hypotension and bradycardia is less after lower limb compression stockings given to obstetric patients undergoing lower-segment cesarean section under spinal anaesthesia. https://www.pafmj.org/index.php/PAFMJ/article/view/8109BradycardiaHypotensionSpinal Anesthesia
spellingShingle Iftikhar Ali
Hina Iftikhar
Habib Ur Rahman
kaukab Majeed
Usman khalid
Hira Latif
Effect of Lower Limb Compression Stockings on Hemodynamic Stability in Obstetric Patients undergoing Lower Segment Cesarean Section under Spinal Anaesthesia
Pakistan Armed Forces Medical Journal
Bradycardia
Hypotension
Spinal Anesthesia
title Effect of Lower Limb Compression Stockings on Hemodynamic Stability in Obstetric Patients undergoing Lower Segment Cesarean Section under Spinal Anaesthesia
title_full Effect of Lower Limb Compression Stockings on Hemodynamic Stability in Obstetric Patients undergoing Lower Segment Cesarean Section under Spinal Anaesthesia
title_fullStr Effect of Lower Limb Compression Stockings on Hemodynamic Stability in Obstetric Patients undergoing Lower Segment Cesarean Section under Spinal Anaesthesia
title_full_unstemmed Effect of Lower Limb Compression Stockings on Hemodynamic Stability in Obstetric Patients undergoing Lower Segment Cesarean Section under Spinal Anaesthesia
title_short Effect of Lower Limb Compression Stockings on Hemodynamic Stability in Obstetric Patients undergoing Lower Segment Cesarean Section under Spinal Anaesthesia
title_sort effect of lower limb compression stockings on hemodynamic stability in obstetric patients undergoing lower segment cesarean section under spinal anaesthesia
topic Bradycardia
Hypotension
Spinal Anesthesia
url https://www.pafmj.org/index.php/PAFMJ/article/view/8109
work_keys_str_mv AT iftikharali effectoflowerlimbcompressionstockingsonhemodynamicstabilityinobstetricpatientsundergoinglowersegmentcesareansectionunderspinalanaesthesia
AT hinaiftikhar effectoflowerlimbcompressionstockingsonhemodynamicstabilityinobstetricpatientsundergoinglowersegmentcesareansectionunderspinalanaesthesia
AT habiburrahman effectoflowerlimbcompressionstockingsonhemodynamicstabilityinobstetricpatientsundergoinglowersegmentcesareansectionunderspinalanaesthesia
AT kaukabmajeed effectoflowerlimbcompressionstockingsonhemodynamicstabilityinobstetricpatientsundergoinglowersegmentcesareansectionunderspinalanaesthesia
AT usmankhalid effectoflowerlimbcompressionstockingsonhemodynamicstabilityinobstetricpatientsundergoinglowersegmentcesareansectionunderspinalanaesthesia
AT hiralatif effectoflowerlimbcompressionstockingsonhemodynamicstabilityinobstetricpatientsundergoinglowersegmentcesareansectionunderspinalanaesthesia