About this trial
Given the clinical importance of maternal hypotension, the potential advantages of sequential spinal dosing warrant formal evaluation in a prospective, adequately powered randomized controlled trial. We therefore designed this study to compare the incidence of post-spinal hypotension between the classic single-shot spinal and the sequential fractionated spinal techniques in elective cesarean delivery.
Eligibility criteria
Qualifiers
Adult women aged 18-45 years.
ASA physical status II-III.
Scheduled for elective cesarean section under standardized spinal anesthesia.
Disqualifiers
Allergy to local anesthetics.
Emergency cesarean section.
Contraindication to spinal anesthesia (e.g., coagulopathy, infection at the puncture site).
Preexisting hypertension on medication or pre-eclampsia with severe features.
Trial design
Treatments tested in this trial
- Classic group
- Sequential group
Treatment groups
Sponsors and collaborators
Al-Azhar University
Lead sponsor
Benha University
Collaborator