School of Medicine

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Browsing School of Medicine by Subject "Abdominal circumference"

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    Relationship Between Abdominal Circumference and Incidence of Hypotension During Elective Cesarean Section Under Spinal Anesthesa in Public Hospitalsof Addis Ababa, Ethiopia, June 2024.
    (Addis Ababa University, 2024-06) Birhanu,Waljira; Weldeyohannes,Misrak (Ass.Prof., Ph.D. fellow); Aweke,Senait (Ass.Prof.)
    Background: hypotension is common complication in pregnant mother during cesarean section after spinal anesthesia. Identifying the association between abdominal circumference and the likelihood of developing hypotension following a cesarean delivery while under spinal anesthesia can aid in preventing hypotension. Objectives: This study aim to investigate the relationship of the abdominal circumference of term pregnant women and the occurrence of hypotension during cesarean section under spinal anesthesia at public hospitals of Addis Ababa, Ethiopia, 2024. Method: A longitudinal cross sectional study through a simple systematic random sampling technique was conducted on 360 term pregnant patients who underwent elective cesarean section under spinal anesthesia from February 15 to April 31, 2024. Data was collected using a data collection questionnaire and checklist. The data was entered using Epi info 7.2 and exported into SPSS 26. The Patients was categorized by their median of abdominal circumference, <102cm (small abdominal circumference (SAC)) and >=102cm (large abdominal circumference (LAC)). Descriptive statistics including percentage mean and median were used. Chi-square was done. Furthermore, bivariate logistic regression was done, the variables with a p-value ≤0.25 entered multivariate regression to control for all possible confounders. In multivariate variables, p≤0.05 was as statistical significance and odd ratio was used for strength of association. Result: Among 360 study subjects in this study, incidence of post spinal hypotension was 76.67% with 95%CI [71.9-80.9]. There was significant difference of incidence of hypotension between the groups (LAC 85.6% AND SAC 63.3%). LAC was three times higher likelihood of having hypotension (AOR = 2.98, 95% CI [1.57, 5.65]). The other predictor factors BMI>25kg/m2, (AOR=2.3, 95%CI [1.16-4.6], P=0.018); baby weight> 4kg,(AOR=11.41 95%CI[2.0-64.86]) P=0.006; sensory block of above T6 level (AOR 2.22, 95%CI [1.12, 4.42]). Conclusions: The study found that there was high incidence of hypotension and significant difference between SAC and LAC groups, and also LAC, BMI, baby weight and sensory block was associated post spinal hypotension.