Prophylactic Legs Compression for Reducing Hypotension and Fetal Acidosis as Subsequent For Spinal Anesthesia in Cesarean Delivery
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 7, Issue 1
Abstract
Spinal block givesadmirable and excellent anesthesia for cesarean delivery, but it is frequently accompanied by hypotension, which if untreated can pose serious risks to mother and baby.Strategies directed to increasing venous return, such as lifting or mechanically compressing the lower extremities, and aggressive intravascular volume loading are very effective in the treatment of arterial hypotension This study aims to examineleg compression for decreasingmaternal hypotension and fetal acidosis subsequent spinal anesthesia in cesarean delivery. A Quasi-experimental designused.Setting: The research was accomplished at cesarean delivery operating unit,AlAzharUniversity Hospital throughout the period from January 2017 to June2017.Sample:A total of 250 full-termsparturients with an uncomplicated pregnancy undergone plannedcesareandelivery using spinal anesthesiaberecruited in both leg compression group (group A) and control group (group B).AorB were randomly allocated (125 in each one group) to have their compression of leg with socks.Protocol of pre-hydration and anesthetic technique standardizedwas followed. Tools:Three tools were used forcollecting the necessary data, structuredinterviewing questionnaire sheet, maternal record, and neonatal assessment sheet.Results: Hypotension was significantly less (P = 0.001) in Group A (leg compression group) patients when compared with Group B (non–legcompression) ahighly statistical significant difference(P = 0.001) wasacquired between group managed by leg compression and non-legs compression group considering mean arterial pressure and newly born (neonatal) acidosis.Conclusion: Incidence of hypotension can be reduced by legs compression with socks. Since legs compression with socks is easy, noninvasive, available, and no pharmacological method, Recommendations:leg compression during cesarean can be recommended for preventing post spinalhypotension
Authors and Affiliations
Inaam Abdelati, Nor Elhodaelshabory, Hanan Elzeblawy Hassan, Samiagaballah . , Hanaa Mohamed Nassar
Keywords
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- EP ID EP435275
- DOI 10.9790/1959-0701063542.
- Views 141
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