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The present study aimed to determine the effects of compression stockings used during cesarean section on intraoperative hypotension.
Cesarean section is among the most common surgeries in young and healthy individuals. Its frequency is increasing in our country and on a global scale. A total of 57% of all births in our country were performed by cesarean section between 2018 and 2023.
Spinal anesthesia is frequently used during cesarean sections with its advantages such as the patient being conscious, not having a risk of aspiration, not causing respiratory depression in the newborn, and the mother being able to breastfeed early. However, Spinal Anesthesia has complications such as hypotension and post-spinal headache, bradycardia and asystole, nausea, hypoventilation, total spinal block, urinary retention, spinal hematoma, back pain, infection, transient neurological symptoms, or cranial nerve paralysis. The present study aimed to determine the effects of compression stockings used during cesarean section on intraoperative hypotension.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Compression stocking using group | Experimental | Wearing varicose vein stockhing is a routine operation preparation |
|
| Control Group | No Intervention | Routine opreration preparation |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| compression stockings | Other | compression stockings used during cesarean section |
|
| Measure | Description | Time Frame |
|---|---|---|
| decrease in blood pressure | systolic blood pressure | one year |
| decrease in blood pressure | diastolic blood pressure | one year |
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Inclusion Criteria:
37-38 weeks pregnant women
Exclusion Criteria:
female
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Afşin Devlet Hastanesi | Afşin | Kahramanmaraş | 46600 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Pradhan, A., Das, T., Sraban, S., Pradhan, K., & Raut, K. (2016). Study the Hemodynamic changes after leg wrapping in elective cesarean section under spinal anesthesia. J Med Sci Clin Res, 4(11), 12-20.https://doi.org/10.18535/jmscr/v4i11.66 | ||
| 29090733 | Background | Kinsella SM, Carvalho B, Dyer RA, Fernando R, McDonnell N, Mercier FJ, Palanisamy A, Sia ATH, Van de Velde M, Vercueil A; Consensus Statement Collaborators. International consensus statement on the management of hypotension with vasopressors during caesarean section under spinal anaesthesia. Anaesthesia. 2018 Jan;73(1):71-92. doi: 10.1111/anae.14080. Epub 2017 Nov 1. No abstract available. | |
| 32581577 |
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| ID | Term |
|---|---|
| D007022 | Hypotension |
| D014648 | Varicose Veins |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D053828 | Stockings, Compression |
| ID | Term |
|---|---|
| D058128 | Compression Bandages |
| D001458 | Bandages |
| D004864 | Equipment and Supplies |
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| Background |
| Ferre F, Martin C, Bosch L, Kurrek M, Lairez O, Minville V. Control of Spinal Anesthesia-Induced Hypotension in Adults. Local Reg Anesth. 2020 Jun 3;13:39-46. doi: 10.2147/LRA.S240753. eCollection 2020. |
| 37685357 | Background | Chang YJ, Liu CC, Huang YT, Wu JY, Hung KC, Liu PH, Lin CH, Lin YT, Chen IW, Lan KM. Assessing the Efficacy of Inferior Vena Cava Collapsibility Index for Predicting Hypotension after Central Neuraxial Block: A Systematic Review and Meta-Analysis. Diagnostics (Basel). 2023 Aug 31;13(17):2819. doi: 10.3390/diagnostics13172819. |
| Background | Ağaçayak, E., Yavuz, M., Tunç, S. Y., Akın, G., Ertuğrul, S., Yıldırım, Z. B., & Gül, T. (2019). Comparison neonatal outcomes of elective cesareans performed with spinal or general anesthesia and normal births without anesthesia. Dicle Medical Journal , 46(2), 299-305.https://doi.org/10.5798/dicletip.574822 |
| Background | Adatepe S. (2020). Comparison of neonatal outcomes of elective cesarean sections performed with spinal or general anesthesia and normal deliveries without anesthesia.Specialization Thesis. Tokat Gaziosmanpaşa University. |
| 34034957 | Result | Yu C, Gu J, Liao Z, Feng S. Prediction of spinal anesthesia-induced hypotension during elective cesarean section: a systematic review of prospective observational studies. Int J Obstet Anesth. 2021 Aug;47:103175. doi: 10.1016/j.ijoa.2021.103175. Epub 2021 May 1. |
| 31508443 | Result | Ebrahim Elgzar WT, Ebrahim Said H, Ebrahim HA. Effect of lower leg compression during cesarean section on post-spinal hypotension and neonatal hemodynamic parameters: nonrandomized controlled clinical trial. Int J Nurs Sci. 2019 Jun 10;6(3):252-258. doi: 10.1016/j.ijnss.2019.06.003. eCollection 2019 Jul 10. |
| 37667479 | Result | Ulgu MM, Birinci S, Altun Ensari T, Gozukara MG. Cesarean section rates in Turkey 2018-2023: Overview of national data by using Robson ten group classification system. Turk J Obstet Gynecol. 2023 Sep 4;20(3):191-198. doi: 10.4274/tjod.galenos.2023.68235. |
| Result | Mohamed AI, Elazhary RA, Abdelhady RM, Abd-ElSadek BR, Said KM. Utilization of lower leg compression technique for reducing spinal induced hypotension, and related risks for mothers and neonates during cesarean delivery. J Nurs Educ Pract 2016;6(7):11e8. https://doi.org/10.5430/jnep.v6n7p11 |
| Result | Mohamad A., Rama B., Farshid G., Kourosh F., Reza A. (2020). A randomized double-blind clinical trial evaluating the effect of Elastic Stocking on Hemodynamic Changes and dose use of ephedrine for elective cesarean surgery under spinal anesthesia. International Journal of Surgery Open, 27, 58-63, https://doi.org/10.1016/j.ijso.2020.10.019 |
| 35256251 | Result | Wan L, Shen PY, Zhang SX, Wang LZ. Leg Compression Versus Control for Prevention of Spinal Anesthesia Induced Hypotension in Elective Cesarean Delivery: A Meta-Analysis of Randomized Controlled Trials. J Perianesth Nurs. 2022 Aug;37(4):501-508. doi: 10.1016/j.jopan.2021.10.011. Epub 2022 Mar 4. |
| 38925990 | Result | Yao HQ, Huang JY, Dong YF, Sun XX, Wang LZ. Effect of pneumatic leg compression on phenylephrine dose for hypotension prophylaxis via variable rate infusion at cesarean delivery: an unblinded randomized controlled trial. Int J Obstet Anesth. 2024 Nov;60:104218. doi: 10.1016/j.ijoa.2024.104218. Epub 2024 Jun 11. |
| 28438121 | Result | Hasanin A, Aiyad A, Elsakka A, Kamel A, Fouad R, Osman M, Mokhtar A, Refaat S, Hassabelnaby Y. Leg elevation decreases the incidence of post-spinal hypotension in cesarean section: a randomized controlled trial. BMC Anesthesiol. 2017 Apr 24;17(1):60. doi: 10.1186/s12871-017-0349-8. |