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

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: Tota...

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Main Authors: Mitra Jabalameli, Shahnaz Aram, Ibrahim Jomee
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2014-10-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/2540
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author Mitra Jabalameli
Shahnaz Aram
Ibrahim Jomee
author_facet Mitra Jabalameli
Shahnaz Aram
Ibrahim Jomee
author_sort Mitra Jabalameli
collection DOAJ
description 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.
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spelling doaj.art-74b4a0c542704f3bb63048c73d90a66a2023-09-02T13:00:51ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2014-10-0132299136313701683Passive Leg Elevation to Prevent Newborn Low APGAR and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean SectionMitra Jabalameli0Shahnaz Aram1Ibrahim Jomee2Associate Professor, Department of Anesthesiology and Critical Care, School of Medicine AND Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Department of Gynecology and Obstetrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, IranBackground: 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.http://jims.mui.ac.ir/index.php/jims/article/view/2540HypotensionSpinal anesthesiaCesarean sectionAPGAR index
spellingShingle Mitra Jabalameli
Shahnaz Aram
Ibrahim Jomee
Passive Leg Elevation to Prevent Newborn Low APGAR and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean Section
مجله دانشکده پزشکی اصفهان
Hypotension
Spinal anesthesia
Cesarean section
APGAR index
title Passive Leg Elevation to Prevent Newborn Low APGAR and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean Section
title_full Passive Leg Elevation to Prevent Newborn Low APGAR and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean Section
title_fullStr Passive Leg Elevation to Prevent Newborn Low APGAR and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean Section
title_full_unstemmed Passive Leg Elevation to Prevent Newborn Low APGAR and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean Section
title_short Passive Leg Elevation to Prevent Newborn Low APGAR and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean Section
title_sort passive leg elevation to prevent newborn low apgar and hypotension of mothers undergoing a spinal anesthesia for elective caesarean section
topic Hypotension
Spinal anesthesia
Cesarean section
APGAR index
url http://jims.mui.ac.ir/index.php/jims/article/view/2540
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AT shahnazaram passivelegelevationtopreventnewbornlowapgarandhypotensionofmothersundergoingaspinalanesthesiaforelectivecaesareansection
AT ibrahimjomee passivelegelevationtopreventnewbornlowapgarandhypotensionofmothersundergoingaspinalanesthesiaforelectivecaesareansection