EFFICACY OF USING DELAYED SUPINE POSITIONING IN THE PREVENTION OF POST-SPINAL ANESTHESIA HYPOTENSION IN FEMALES UNDERGOING CESAREAN DELIVERIES

Abstract

Background: After a subarachnoid block is administered after a caesarean section delivery, maternal hypotension is a
risky and frequent consequence. Maternal hemodynamic profiles are better affected when different pharmaceutical
techniques—such as ondansetron and norepinephrine—are used in conjunction with non-pharmacological techniques
during delayed supine posture.
Aim: The current study set out to evaluate the risks and advantages of using both pharmaceutical and nonpharmacological
approaches in the prevention of hypotension.
Methods: 170 individuals were randomly split into two groups and tested for the study. Group II (control) patients
were forced to lie down in a supine posture as soon as the subarachnoid block was administered, whereas Group I
subjects were remained sitting for two minutes following injection. Prophylactic intravenous infusion of
norepinephrine and ondansetron bolus before to surgery was administered to both groups. Systolic blood pressure was
measured in each patient starting with the intrathecal injection and continuing until delivery.
Results: Systolic blood pressure in the sitting group (Group I) was 122±16 mmHg till delivery, a substantial increase
from 114±12 mmHg in the control group (p=0.003). The intraoperative systolic blood pressure in the sitting group
was higher than in the control group. Additionally, there was a decreased occurrence of hypotension and a lower
ephedrine use in comparison to the control group. The two research groups had similar rates of bradycardia.
Conclusion: The current study suggests that improved outcomes for the foetus, nausea and vomiting, vasopressor
intake, and maternal hypotension are obtained when pharmacological and non-pharmacological techniques are used in
conjunction during caesarean births.