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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Format: | Article |
Language: | fas |
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Isfahan University of Medical Sciences
2014-10-01
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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. |
first_indexed | 2024-03-12T09:44:10Z |
format | Article |
id | doaj.art-74b4a0c542704f3bb63048c73d90a66a |
institution | Directory Open Access Journal |
issn | 1027-7595 1735-854X |
language | fas |
last_indexed | 2024-03-12T09:44:10Z |
publishDate | 2014-10-01 |
publisher | Isfahan University of Medical Sciences |
record_format | Article |
series | مجله دانشکده پزشکی اصفهان |
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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