Evaluation of Leg Wrapping for Prevention of Postspinal Hypotension in Cesarean Section under Spinal Anesthesia

Abstract

Abstract Background Hypotension is one the most common intra-operative complications associated with spinal anesthesia. Its incidence in cesarean section has been estimated to be as high as 50-60 %. Objective To evaluate the efficiency of leg wrapping with crepe bandage for the prevention or attenuation of post-spinal hypotension and it’s adverse effects in cesarean section patients. Patients and Methods A total of 60 women scheduled for cesarean section under spinal anesthesia were included in the study, divided into 30 patients in each group. Results The preemptive use of leg wrapping significantly reduced the incidence of post spinal hypotension in obstetric patients. The minimum Heart Rate throughout the operation was significantly higher in wrapped leg group. Nausea and vomiting were significantly less frequent in wrapped leg group. No statistical significant difference between the study groups regarding birth weight, APGAR1, APGAR-5 and NICU admission. Furthermore, this method reduced vasopressor consumption. Conclusion the leg wrapping technique was a reliable method in decreasing the incidence of the commonest complications occurring after spinal anesthesia in obstetric patients: hypotension, bradycardia, nausea and vomiting. Recommendations: further studies with larger samples and more advanced leg compression equipments should be considered