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Relationship between Abdominal Circumference and Incidence of Hypotension during Cesarean Section under Spinal Anesthesia

BACKGROUND: Enlarged uterus can compress the inferior vena cava and cause hypotension when lying supine. Previous studies have shown a positive association between the abdominal circumference and size of the uterus. Therefore, the aim of this study was to evaluate the relationship between abdominal...

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Autores principales: Thomard, Pattaraleeya, Morakul, Sunthiti, Wirachpisit, Nichawan, Ittichaikulthol, Wichai, Pisitsak, Chawika
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450333/
https://www.ncbi.nlm.nih.gov/pubmed/32908498
http://dx.doi.org/10.1155/2020/6547927
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author Thomard, Pattaraleeya
Morakul, Sunthiti
Wirachpisit, Nichawan
Ittichaikulthol, Wichai
Pisitsak, Chawika
author_facet Thomard, Pattaraleeya
Morakul, Sunthiti
Wirachpisit, Nichawan
Ittichaikulthol, Wichai
Pisitsak, Chawika
author_sort Thomard, Pattaraleeya
collection PubMed
description BACKGROUND: Enlarged uterus can compress the inferior vena cava and cause hypotension when lying supine. Previous studies have shown a positive association between the abdominal circumference and size of the uterus. Therefore, the aim of this study was to evaluate the relationship between abdominal circumference and incidence of hypotension during cesarean section under spinal anesthesia. METHODS: The study cohort comprised women undergoing cesarean section under spinal anesthesia. Patients were divided into two groups according to the median abdominal circumference (<101 cm and ≥101 cm). Hypotension was defined as a systolic blood pressure of <90 mmHg or mean arterial pressure of <65 mmHg. The primary outcome of this study was the relationship between the incidence of hypotension and the abdominal circumference after spinal anesthesia in term pregnant women. RESULTS: The study cohort comprised 100 women. The incidence of hypotension did not differ between the groups (71.42% in the smaller vs. 78.43% in the larger abdominal circumference group, p=0.419). However, the decrease in mean arterial pressure and its percentage decrease from baseline were greater in the larger than in the smaller abdominal circumference group (change in mean arterial pressure: 28.33 mmHg (18.66–33.67) in the smaller vs. 36.67 mmHg (23.34–43.34) in the larger abdominal circumference group, p=0.004; percentage decrease: 31.41% (22.74–39.22) in the smaller vs. 38.47% (28.00–44.81) in the larger abdominal circumference group, p=0.022). CONCLUSIONS: Large abdominal circumference in pregnancy is associated with greater decreases in mean arterial pressure from baseline. However, the incidence of hypotension defined by standard criteria did not differ between larger and smaller abdominal circumference groups.
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spelling pubmed-74503332020-09-08 Relationship between Abdominal Circumference and Incidence of Hypotension during Cesarean Section under Spinal Anesthesia Thomard, Pattaraleeya Morakul, Sunthiti Wirachpisit, Nichawan Ittichaikulthol, Wichai Pisitsak, Chawika Anesthesiol Res Pract Research Article BACKGROUND: Enlarged uterus can compress the inferior vena cava and cause hypotension when lying supine. Previous studies have shown a positive association between the abdominal circumference and size of the uterus. Therefore, the aim of this study was to evaluate the relationship between abdominal circumference and incidence of hypotension during cesarean section under spinal anesthesia. METHODS: The study cohort comprised women undergoing cesarean section under spinal anesthesia. Patients were divided into two groups according to the median abdominal circumference (<101 cm and ≥101 cm). Hypotension was defined as a systolic blood pressure of <90 mmHg or mean arterial pressure of <65 mmHg. The primary outcome of this study was the relationship between the incidence of hypotension and the abdominal circumference after spinal anesthesia in term pregnant women. RESULTS: The study cohort comprised 100 women. The incidence of hypotension did not differ between the groups (71.42% in the smaller vs. 78.43% in the larger abdominal circumference group, p=0.419). However, the decrease in mean arterial pressure and its percentage decrease from baseline were greater in the larger than in the smaller abdominal circumference group (change in mean arterial pressure: 28.33 mmHg (18.66–33.67) in the smaller vs. 36.67 mmHg (23.34–43.34) in the larger abdominal circumference group, p=0.004; percentage decrease: 31.41% (22.74–39.22) in the smaller vs. 38.47% (28.00–44.81) in the larger abdominal circumference group, p=0.022). CONCLUSIONS: Large abdominal circumference in pregnancy is associated with greater decreases in mean arterial pressure from baseline. However, the incidence of hypotension defined by standard criteria did not differ between larger and smaller abdominal circumference groups. Hindawi 2020-08-18 /pmc/articles/PMC7450333/ /pubmed/32908498 http://dx.doi.org/10.1155/2020/6547927 Text en Copyright © 2020 Pattaraleeya Thomard et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Thomard, Pattaraleeya
Morakul, Sunthiti
Wirachpisit, Nichawan
Ittichaikulthol, Wichai
Pisitsak, Chawika
Relationship between Abdominal Circumference and Incidence of Hypotension during Cesarean Section under Spinal Anesthesia
title Relationship between Abdominal Circumference and Incidence of Hypotension during Cesarean Section under Spinal Anesthesia
title_full Relationship between Abdominal Circumference and Incidence of Hypotension during Cesarean Section under Spinal Anesthesia
title_fullStr Relationship between Abdominal Circumference and Incidence of Hypotension during Cesarean Section under Spinal Anesthesia
title_full_unstemmed Relationship between Abdominal Circumference and Incidence of Hypotension during Cesarean Section under Spinal Anesthesia
title_short Relationship between Abdominal Circumference and Incidence of Hypotension during Cesarean Section under Spinal Anesthesia
title_sort relationship between abdominal circumference and incidence of hypotension during cesarean section under spinal anesthesia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450333/
https://www.ncbi.nlm.nih.gov/pubmed/32908498
http://dx.doi.org/10.1155/2020/6547927
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