Effect of Gestational Weight Gain on Spinal Anesthesia in Elective Cesarean Delivery

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18-45
SponsorElazıg Fethi Sekin Sehir Hastanesi

About this trial

This prospective, observational, non-interventional study aims to evaluate the effect of gestational weight gain on regional anesthesia characteristics in pregnant women undergoing elective cesarean delivery. No additional intervention, medication, or procedure beyond routine clinical care will be performed. Participants will be classified according to gestational weight gain categories based on the Institute of Medicine (IOM) 2009 guidelines, and spinal anesthesia block characteristics, hemodynamic responses, and perioperative outcomes will be assessed.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Pregnant women aged 18-45 years

Single pregnancy

Planned elective cesarean section

Spinal anesthesia (regional anesthesia technique)

Disqualifiers

Pregnant women with preeclampsia, severe preeclampsia, eclampsia, or HELLP syndrome

Pregnant women with a history of gestational diabetes or pregestational diabetes

Multiple pregnancy (twins, triplets, etc.)

Preterm pregnancy (<37 weeks)

Trial population

The study population consists of pregnant women aged 18 to 45 years who are scheduled for elective cesarean delivery under regional (spinal) anesthesia. All participants will be followed prospectively, and no additional intervention beyond routine clinical care will be performed. Gestational weight gain will be calculated using pre-pregnancy and pre-delivery weight records and classified according to the Institute of Medicine (IOM) 2009 guidelines.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

200 Participants
are grouped into 2 trial groups
Group A: Inadequate Gestational Weight Gain
Group B: Adequate or Excessive Gestational Weight Gain

Trial outcomes

Primary outcomes

1

Incidence of Spinal Anesthesia-Induced Hypotension

Occurrence of hypotension following spinal anesthesia, defined as a decrease in mean arterial pressure of ≥20% from baseline or an absolute mean arterial pressure \<65 mmHg.

Time frame
During cesarean delivery (first 20 minutes after spinal anesthesia)

Secondary outcomes

Other outcomes

Sponsors and contacts

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