Comparison of Classic and Sequential Spinal Techniques for Preventing Hypotension During Cesarean Delivery.

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexFemale
Age18-45
SponsorAl-Azhar University

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

94 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Al-Azhar University

Lead sponsor

Benha University

Collaborator