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The study aimed to compare successful spinal needle insertion between obese and non-obese pregnant women in crossed leg sitting position undergoing cesarean section
Approval from Ethical Committee of Faculty of Medicine University of Indonesia was acquired prior conducting the study. Subjects were given informed consent before enrolling the study.Subjects sat in cross leg sitting position: patients sit with both thighs abducted, knees flexed medially, each feet soles were under their contralateral thighs. The back was flexed maximally, subjects' chin approaching the sternum, and subjects hugged a pillow. Lumbal puncture was done using Quincke needle 25G/27G at L4-5 intervertebral gap until the it reached subarachnoid space (confirmed by free flow cerebrospinal fluid). Data recorded were the number of attempt for the successful spinal puncture, the number of spinal needle-bone contact and blood vessel puncture incidence. Data was analyzed by using Statistical Package for Social Scientist (SPSS), for numerical data using unpaired T-test or Mann-Whitney-U test, for categorical data using Chi-square test or Fischer Exact's Test. Data normality was tested by Kolmogorov-Smirnov test. Significant value is p<0.05.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Obese | Experimental | Obese pregnant women received spinal anesthesia using Quincke Needle 25G/27G in crossed leg sitting position for caesarean section |
|
| Non-obese | Experimental | Non-obese pregnant women received spinal anesthesia using Quincke Needle 25G/27G in crossed leg sitting position for caesarean section |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Crossed leg sitting position | Procedure | Spinal anesthesia done in crossed leg sitting position |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of successful spinal needle placement in the first attempt | The number of successful spinal needle placement in the first attempt was recorded in yes/no method. | 2 months |
| The number of needle-bone contact | The number of spinal needle-bone contact | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| The number of blood vessel puncture incidence. | The number of blood vessel puncture incidence by the spinal needle during insertion. | 2 months |
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Inclusion Criteria:
Exclusion Criteria:
Drop out criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Susilo Chandra | Indonesia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cipto Mangunkusumo Central National Hospital | Central Jakarta | DKI Jakarta | 10430 | Indonesia | ||
| Cipto Mangunkusumo Cental National Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20641146 | Background | Davies GA, Maxwell C, McLeod L, Gagnon R, Basso M, Bos H, Delisle MF, Farine D, Hudon L, Menticoglou S, Mundle W, Murphy-Kaulbeck L, Ouellet A, Pressey T, Roggensack A, Leduc D, Ballerman C, Biringer A, Duperron L, Jones D, Lee LS, Shepherd D, Wilson K; Society of Obstetricians and Gynaecologists of Canada. SOGC Clinical Practice Guidelines: Obesity in pregnancy. No. 239, February 2010. Int J Gynaecol Obstet. 2010 Aug;110(2):167-73. doi: 10.1016/j.ijgo.2010.03.008. | |
| 23262963 |
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| Jakarta |
| DKI Jakarta |
| 10430 |
| Indonesia |
| Background |
| American College of Obstetricians and Gynecologists. ACOG Committee opinion no. 549: obesity in pregnancy. Obstet Gynecol. 2013 Jan;121(1):213-7. doi: 10.1097/01.aog.0000425667.10377.60. |
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