Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jun 10;6(3):252-258.
doi: 10.1016/j.ijnss.2019.06.003. eCollection 2019 Jul 10.

Effect of lower leg compression during cesarean section on post-spinal hypotension and neonatal hemodynamic parameters: nonrandomized controlled clinical trial

Wafaa Taha Ebrahim Elgzar  1 , Hanan Ebrahim Said  1 , Heba Abdelfatah Ebrahim  2
Affiliations

Effect of lower leg compression during cesarean section on post-spinal hypotension and neonatal hemodynamic parameters: nonrandomized controlled clinical trial

Wafaa Taha Ebrahim Elgzar et al. Int J Nurs Sci. .

Erratum in

Abstract

Objectives: This study aimed to determine the effect of lower leg compression during cesarean section (CS) on post-spinal hypotension (PSH) and neonatal hemodynamic parameters.

Methods: This study is a nonrandomized controlled clinical trial conducted in the cesarean delivery unit of the National Medical institute, Damanhour, Egypt. The sample included 120 parturients (60 intervention and 60 control). The researchers developed three tools for data collection: sociodemographic data and reproductive history interview schedule, electronic monitoring of maternal hemodynamic parameters, and neonatal hemodynamic assessment sheet. All parturients received ordinary pre-operative care. For the intervention group, a long elastic stocking (ordinary pressure 20-30 mmHg, 1 mmHg = 0.133 kPa) was applied on both legs during cesarean section. The control group received the same care without the elastic stocking.

Results: Systolic blood pressure, diastolic blood pressure, and mean arterial blood pressure were significantly higher in the intervention group throughout the entire operation period except in the last 5-15 min. Heart rate was significantly lower in the intervention group. Only 13.3% of the intervention group took ephedrine compared with 45% of the control group. Apgar score was higher among neonates of intervention group compared with the control group at 1 min. Neonatal acidosis was significantly higher in the control group than in the contral group.

Conclusion: Lower leg compression technique can effectively reduce PSH and neonatal acidosis.

Keywords: Cesarean section; Hemodynamics; Hypotension; Leg; Neonatal; Stockings, compression.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. El-Zanaty F.H., El-Ghazaly M.A., Hamed R. Vol. 2. The DHS Program ICF International; Rockville Maryland: 2015. Egypt. Egypt demographic and health survey 2014. Ministry of Health and Population Cairo; pp. 119–124.
    1. World Health Organization . WHO; Geneva: 2015. WHO Statement on Caesarean Section Rates.https://www.who.int/reproductivehealth/publications/maternal_perinatal_h... Available at:
    1. Mercier F.J., Augè M., Hoffmann C., Fischer C., Le A.C. Maternal hypotension during spinal anesthesia for caesarean delivery. Minerva Anestesiol. 2013;79(1):62–73. - PubMed
    1. Habib A.S.A. Review of the impact of phenylephrine administration on maternal hemodynamics and maternal and neonatal outcomes in women undergoing cesarean delivery under spinal anesthesia. Anesth Analg. 2012;114(2):377–390. - PubMed
    1. Lee J.E., George R.B., Habib A.S. Spinal-induced hypotension: incidence, mechanisms, prophylaxis, and management: summarizing 20 years of research. Best Pract Res Clin Anaesthesiol. 2017;31(1):57–68. - PubMed