Extra Sitting Time After Spinal Anesthesia for Cesarean Section and Fetal Well-being

The Effect of Sitting After Spinal Injection of Hyperbaric Local Anesthetic on Fetal Acid-base Balance After Cesarean Delivery

After injection of the spinal anesthetic drug, women will be allowed to lie down immediately (0-30 sec) or after three minutes (180 sec) of sitting. The incidence of maternal hypotension and fetal umbilical cord blood pH will be recorded.

Inclusion Criteria:

• Women with elective cesarean delivery at 39-42 wks gestation.

Exclusion Criteria:

• Women who shorter than 5'0" in height, those with primary or pregnancy-induced hypertension, macrosomia, multiple gestation will be excluded.
• Women with known risks of bleeding or potential hysterectomy such as those with placenta previa or accrete will also be excluded.
• If the epidural catheter cannot be placed within the specific time frame after the spinal injection, the case will be excluded.