Passive Leg Elevation to Prevent Newborn Low Apgar and Hypotension of Mothers Undergoing a Spinal Anesthesia for Elective Caesarean Section



Jabalameli M¹ ; Aram S² ; Jomee I³ Show Affiliations
Source: Journal of Isfahan Medical School Published:2014

Abstract

Background: Hypotension occurs significantly during cesarean operation with spinal anesthesia. This side-effect can be harmful to the mother and the fetus. In this study, impact of passive leg elevation maneuver on prevention of mother hypotension and newborn APGAR index was examined. Methods: Totally, 105 mothers, in three groups of 35, were examined with different leg angles after spinal anesthesia and the impact of these maneuvers on pulse rate, mother blood pressure and APGAR index was checked. Findings: The relative rates of mother hypotension, relative rates of nausea and vomiting during and after working, mean of need to ephedrine between the 3 groups, and newborn APGAR indexes in the first and fifth minutes in each group were significantly different. Mean maximum and minimum mother pulse rate, the mean interval time between applying spinal anesthesia and the occurrence of the mother hypotension, and newborn APGAR indexes were not significantly different between the 3 groups. Conclusion: This study shows that increasing the angle of leg after spinal anesthesia has impact on consequences of hypotension. © 2014, Isfahan University of Medical Sciences(IUMS). All rights reserved.