[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100581965":3},{"organization":4,"armGroups":7,"interventions":21,"overallOfficials":27,"centralContacts":31,"locations":37,"responsibleParty":50,"collaborators":54,"id":56,"slug":57,"hasResults":58,"nctId":59,"briefTitle":60,"officialTitle":60,"acronym":11,"eligibilityCriteria":61,"healthyVolunteers":62,"sex":63,"minAge":64,"maxAge":65,"enrollmentInfo":66,"targetDuration":11,"studyType":69,"phases":70,"briefSummary":72,"conditions":73,"keywords":11,"overallStatus":77,"whyStopped":11,"lastUpdateSubmitDate":78,"lastUpdatePostDateStruct":79,"startDateStruct":82,"completionDateStruct":84,"leadSponsor":86,"locationsCount":87},{"fullName":5,"class":6},"Aswan University","OTHER",[8,14,18],{"label":9,"type":10,"description":11,"interventionNames":12},"Group A (N=72): Immediate Supine Position","ACTIVE_COMPARATOR",null,[13],"Behavioral: Positioninng during Cs",{"label":15,"type":16,"description":11,"interventionNames":17},"Group В (N=72): Sitting Position","EXPERIMENTAL",[13],{"label":19,"type":16,"description":11,"interventionNames":20},"Group С (N=72): Semi-Sitting Position",[13],[22],{"type":23,"name":24,"description":25,"armGroupLabels":26,"otherNames":11},"BEHAVIORAL","Positioninng during Cs","1. Group A (N=72): Immediate Supine Position (Control):\n\n   Immediately after administering spinal anesthesia, participants will be placed in a supine position. To reduce the risk of aortocaval compression, a slight left lateral tilt (approximately 15 degrees) will be applied. This is the traditional positioning method and serves as the control group for comparison.\n2. Group В (N=72): Sitting Position:\n\n   After spinal anesthesia, participants will be positioned in a sitting position with the ack supported at a 90-degree angle for the first 2 minutes. Knees will be bent, and feet will be supported.\n3. Group С (N=72): Semi-Sitting Position:\n\nAfter spinal anesthesia, participants will be positioned in a semi-sitting position with the back supported at the back supported at for the first 2 minutes.\n\nSimilar to the sitting position, knees and feet will be flat.",[9,15,19],[28],{"name":29,"affiliation":5,"role":30},"Ayman Mohamadi Eldemrdash, MD Of Anesthesia","STUDY_CHAIR",[32],{"name":33,"role":34,"phone":35,"phoneExt":11,"email":36},"Ahmed Yousef Mohamed, Resident of Anesthesia","CONTACT","+201112842063","Maxedo.67@gmail.com",[38],{"facility":39,"status":11,"city":40,"state":41,"zip":11,"country":42,"countryCode":43,"cosmosGeoPoint":44,"geoPoint":49,"contacts":11},"Aswan University Hospital","Aswān","Aswan Governorate","Egypt","EG",{"type":45,"coordinates":46},"Point",[47,48],32.89942,24.09082,{"lat":48,"lon":47},{"type":51,"investigatorFullName":52,"investigatorTitle":53,"investigatorAffiliation":5,"oldNameTitle":11,"oldOrganization":11},"PRINCIPAL_INVESTIGATOR","Ahmed Yousef Mohamed","Resident of Anethesia and Intensive Care",[55],{"name":39,"class":6},"100581965","comparison-of-maternal-hemodynamics-during-spinal-anesthesia-with-different-cesarean-delivery-positioning-100581965",false,"NCT06857162","Comparison of Maternal Hemodynamics During Spinal Anesthesia with Different Cesarean Delivery Positioning","Inclusion Criteria:\n\n* Pregnant women scheduled for elective cesarean delivery.\n* Age between 18 and 40 years.\n* ASA (American Society of Anesthesiologists) physical status II.\n\nExclusion Criteria:\n\n* Emergency cesarean delivery.\n* Pre-existing cardiovascular disease.\n* Severe preeclampsia or eclampsia.\n* Multiple pregnancies.\n* Known fetal anomalies.",true,"FEMALE","20 Years","40 Years",{"count":67,"type":68},216,"ESTIMATED","INTERVENTIONAL",[71],"NA","Cesarean delivery is a common surgical procedure, and maintaining maternal hemodynamic stability during the procedure is crucial for both maternal and fetal outcomes . Hemodynamic instability, such as hypotension following spinal anesthesia, is a frequent complication and can lead to adverse maternal and neonatal outcomes. Traditionally, after spinal anesthesia, women are positioned supine, sometimes with a slight left lateral tilt to mitigate the risk of aortocaval compression . However, recent studies and clinical observations suggest that delayed supine positioning-keeping the patient in a sitting or semi-sitting position for a period following spinal anesthesiamay improve hemodynamic stability. These alternative positions may help to mitigate the abrupt drop in blood pressure commonly seen after spinal anesthesia by allowing for a more gradual redistribution of blood volume . Understanding the optimal positioning strategy could lead to improved clinical protocols that enhance maternal and fetal safety. By comparing immediate supine positioning with delayed supine positioning (in sitting and semi-sitting positions), this study aims to provide evidence on which positioning strategy offers the best hemodynamic outcomes.",[74,75,76],"This Study Aims to Provide Evidence on Which Positioning Strategy Offers the Best Hemodynamic Outcomes","Maternal Hemodynamic","Maternal Positioning During CS","NOT_YET_RECRUITING","2025-03-15",{"date":80,"type":81},"2025-03-19","ACTUAL",{"date":83,"type":68},"2025-04-25",{"date":85,"type":68},"2025-09-01",{"name":5,"class":6},1]