Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Maternal obesity is a significant public health issue that impacts anesthetic management during cesarean sections. This study aims to investigate the correlation between various anthropometric measurements and the level of subarachnoid block and hemodynamic changes in parturients undergoing cesarean section. This prospective observational study was conducted at a tertiary care hospital from November 2018‐August 2020. A total of 100 parturients of ASA I and II status scheduled for elective cesarean sections under spinal anesthesia were included. Anthropometric measurements such as height, weight, BMI, BSA, waist‐to‐hip ratio (WHR) and abdominal circumference (AC) were recorded. The level of the subarachnoid block, time to achieve maximum block and hemodynamic parameters (systolic blood pressure, diastolic blood pressure, mean arterial pressure and heart rate) were monitored and correlated with the anthropometric data. Among the 100 parturients, 33 achieved a maximum block level of T4, while 67 reached T6. Significant differences were observed in the anthropometric measurements between the two groups. Parturients with a short height, high BMI, BSA, WHR and AC achieved a higher block level (T4) more rapidly. A strong negative correlation was found between increasing weight, BMI and AC with the time to achieve maximum block (r=‐0.822, ‐0.871 and‐0.725 respectively, p<0.001). Hemodynamic instability was more prevalent in parturients with higher BMI, BSA, WHR and AC, with 44% experiencing hypotension. Ephedrine was required in 41 parturients, primarily those with high BMI and AC. Anthropometric measurements significantly impact the spread and speed of spinal anesthesia and subsequent hemodynamic responses in parturients undergoing cesarean sections. Proper assessment of these measurements can help in planning the mode of anesthesia and taking necessary precautions to mitigate intraoperative complications.
How to cite this article:
Radhika Ganesh and Hema Gupta. Study of Correlation of Anthropometric Measurements with the Level of Subarachnoid Block and Haemodynamics in Parturients Undergoing Caesarean Section.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.143.150
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.143.150