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IRCT20200312046752N1 IRCT 2020-04-23 Mashhad University of Medical Sciences The effect of acupressure on hypotension after anesthesia ‎in cesarean section The effect of acupressure on hypotension after spinal ‎anesthesia in cesarean section 2019-06-25 anticipated 64 Complete https://irct.ir/trial/46557 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Balanced block randomization. N/A Hypotension. Intervention 1: This two-group randomized clinical trial will be carried out on ‎‎64 pregnant women admitted for elective cesarean section with ‎spinal anesthesia at Imam Reza Hospital after the approval of ‎the Ethics Committee of the University of Medical Sciences ‎in Mashhad, Iran. After clarifying the purposes of the study ‎and obtaining written consent from the individuals, sampling ‎will be performed by the consideration of the ethical codes.‎Non-probability sampling will be using based on convenient ‎sampling and inclusion / exclusion criteria. Then the selected ‎participants will be allocated randomly to two groups of ‎acupressure and control using a random number table‏.‏Inclusion criteria: single pregnancy, gestational age 38-40 ‎weeks based on first-trimester ultrasound, Systolic blood ‎pressure 100-140mmHg, elective cesarean section, no medical ‎or midwifery sickness in the current pregnancy such as ‎gestational diabetes & preeclampsia. ‎All intraoperative problems will be excluded such as bleeding ‎more than 1.5 liters, prolonged operation time to more than one ‎hour. ‎Mothers’ primary blood pressure and heart rate will be ‎measured and recorded after entering the operating room and ‎before starting the intervention..‎Then, at least 15-20 minutes before spinal anesthesia the ‎pressure will be performed by the researcher at the pressure ‎points three times for about 30-60 seconds.‎‎ These pressure points are as follows:‎Baihui DU-20(At the head and with cun5 distance from the hair ‎growth line), Hegu(On the back of the hand between the 1st and ‎‎2nd metacarpal bones and on the radial side of the second ‎metacarp), ST36(3cun below knee joint) and Neiguan(4-5 cm ‎above the first transverse wrist crease, located in the path ‎between the median nerve and between the palms and the ‎bending of the lower arm) .‎Mother's blood pressure and heart rate will be monitored and ‎recorded every 3 minutes until the end of the operation after ‎assurance of sufficient block level and start of the operation.‎. Intervention 2: Control group: The control group will be receive routine care. ‎Mother's blood pressure and heart rate will be monitored and ‎recorded every 3 minutes until the end of the operation after ‎assurance of sufficient block level and start of the operation ‎. No - There is not a plan to make this available Justification or reason for not sharing IPD is No more information
public Marzieh Ghasemi
5, Shohada Ave, Goujan, farsan town
Shahrekord Iran (Islamic Republic of) 8861177891 +98 38 3323 0425 ghasemi.m93@yahoo.com Esfahan University of Medical Sciences scientific Marzieh Ghasemi
5, Shohada Ave, Goujan, farsan town
Shahrekord Iran (Islamic Republic of) 8861177891 +98 38 3323 0425 ghasemi.m93@yahoo.com Esfahan University of Medical Sciences Iran (Islamic Republic of) The gestational age is 38-40 weeks (based on first trimester ultrasound) Systolic blood pressure is 100-140 mmHg Single pregnancy Elective Cesarean section no limit no limit Female Gestational diabetes Preeclampsia I95.9 Idiopathic hypotension Prevention Prevention This two-group randomized clinical trial will be carried out on ‎‎64 pregnant women admitted for elective cesarean section with ‎spinal anesthesia at Imam Reza Hospital after the approval of ‎the Ethics Committee of the University of Medical Sciences ‎in Mashhad, Iran. After clarifying the purposes of the study ‎and obtaining written consent from the individuals, sampling ‎will be performed by the consideration of the ethical codes.‎Non-probability sampling will be using based on convenient ‎sampling and inclusion / exclusion criteria. Then the selected ‎participants will be allocated randomly to two groups of ‎acupressure and control using a random number table‏.‏Inclusion criteria: single pregnancy, gestational age 38-40 ‎weeks based on first-trimester ultrasound, Systolic blood ‎pressure 100-140mmHg, elective cesarean section, no medical ‎or midwifery sickness in the current pregnancy such as ‎gestational diabetes & preeclampsia. ‎All intraoperative problems will be excluded such as bleeding ‎more than 1.5 liters, prolonged operation time to more than one ‎hour. ‎Mothers’ primary blood pressure and heart rate will be ‎measured and recorded after entering the operating room and ‎before starting the intervention..‎Then, at least 15-20 minutes before spinal anesthesia the ‎pressure will be performed by the researcher at the pressure ‎points three times for about 30-60 seconds.‎‎ These pressure points are as follows:‎Baihui DU-20(At the head and with cun5 distance from the hair ‎growth line), Hegu(On the back of the hand between the 1st and ‎‎2nd metacarpal bones and on the radial side of the second ‎metacarp), ST36(3cun below knee joint) and Neiguan(4-5 cm ‎above the first transverse wrist crease, located in the path ‎between the median nerve and between the palms and the ‎bending of the lower arm) .‎Mother's blood pressure and heart rate will be monitored and ‎recorded every 3 minutes until the end of the operation after ‎assurance of sufficient block level and start of the operation.‎ Control group: The control group will be receive routine care. ‎Mother's blood pressure and heart rate will be monitored and ‎recorded every 3 minutes until the end of the operation after ‎assurance of sufficient block level and start of the operation ‎ Hypotension. Timepoint: The beginning of spinal anesthesia until the end of cesarean ‎section every 3 minutes ‎. Method of measurement: Mercury barometer. Mashhad University of Medical Sciences Approved 2019-02-18 Ethics committee of Mashhad University of Medical Sciences Daneshgah Ave, Mashhad Town Mashhad Razavi Khorasan Iran (Islamic Republic of)