The effects of uterine size with or without abdominal obesity on spinal block level and vasopressor requirement in elective cesarean section: a prospective observational study

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dc.contributor.authorGunusen, Ilkben
dc.contributor.authorSargin, Asuman
dc.contributor.authorAkdemir, Ali
dc.contributor.authorErgenoglu, Ahmet Mete
dc.date.accessioned2019-10-27T09:59:10Z
dc.date.available2019-10-27T09:59:10Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground/aim: Hypotension is a serious complication caused by spinal anesthesia that places both the mother and fetus at increased risk. We aimed to investigate the effects of uterine size with or without abdominal obesity on sensory block level of pregnant women receiving spinal anesthesia. Materials and methods: This study included 125 term parturients who underwent cesarean section. Motor and sensory block characteristics, the distance between the symphysis pubis and the fundus (SIT), the distance between the symphysis pubis and the xiphoid (SPX), newborn and placental weights, adverse effects, and doses of ephedrine were recorded. Results: Sensory block level and ephedrine dose were significantly correlated with the SPX and the combined newborn and placenta weights (P < 0.05). The incidence of hypotension was related to the SPX and the combined newborn and placenta weight (P < 0.05). There was no correlation between the SPF and sensory block level or ephedrine dose. The sensory block level was higher for patients who had greater SPX values and higher combined newborn and placenta weights. The incidence of hypotension and the ephedrine dose were also higher in these subjects. Conclusion: SPX values and combined newborn and placenta weights are more predictive of sensory block level than SPF values in parturients receiving spinal anesthesia.en_US
dc.identifier.doi10.3906/sag-1804-167en_US
dc.identifier.endpage57en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue1en_US
dc.identifier.pmid30761854en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage50en_US
dc.identifier.urihttps://doi.org/10.3906/sag-1804-167
dc.identifier.urihttps://hdl.handle.net/11454/29576
dc.identifier.volume49en_US
dc.identifier.wosWOS:000458367000008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTubitak Scientific & Technical Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSpinal anesthesiaen_US
dc.subjectsensory levelen_US
dc.subjecthypotensionen_US
dc.subjectfundal heighten_US
dc.subjectabdominal obesityen_US
dc.titleThe effects of uterine size with or without abdominal obesity on spinal block level and vasopressor requirement in elective cesarean section: a prospective observational studyen_US
dc.typeArticleen_US

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