Incidence and Risk Factors of Post Spinal Hypotension Among Obstetrics Patients Undergoing Cesarean Section at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
| dc.contributor.advisor | Alferid,Fetiya (Phd,MD, Ass.Prof.) | |
| dc.contributor.advisor | Hulala,Faiza(MD, Ass.Prof.) | |
| dc.contributor.author | Alemu, Biruk | |
| dc.date.accessioned | 2025-08-12T20:12:53Z | |
| dc.date.available | 2025-08-12T20:12:53Z | |
| dc.date.issued | 2024-06 | |
| dc.description.abstract | Background:Post spinal hypotension is defined as a decline in mean arterial pressure (MAP) of more than 20% from baseline or systolic BP <90mmHG with in 20minutes of spinal anesthesia. Its prevalence ranges from 30.1-71.5%. Hypotension may pose serious risks like loss of consciousness and cardiac arrest on mothers undergoing CS under spinal anesthesia. Objective: To assess the incidence and risk factors of post-spinal hypotension among patients undergoing cesarean section at Tikur Anbessa Specialized teaching Hospital, Addis Ababa, Ethiopia. Methodology: An institution-based prospective cross-sectional study was conducted using 262 obstetric patients admitted to TASH from November 2024 to May 2024. Data was entered and cleaned and analyzed using SPSS version 26. Association between categorical variables was determined using correlation logistic regression. Odds ratio was calculated on variables to determine association through binary and multivariate logistic regression. Those with P-value of 0.25 from binary logistic regression were brought to multivariable analysis and independent variables with P-Value less than 0.05 was regarded as a risk factor for Results: Among 262 patients, 157 (60%) AOR 0.6353, 95% CI 0.0438-1.213 had post spinal hypotension following spinal anesthesia. Of which at 5% level of significance after multivariate binary logistic regression analysis, the odds of developing post spinal hypotension for gravidity <3 with P-value of 0.041 AOR 0.579, 95% CI (0.343-0.977), Supine patient position with P- value of 0.004 AOR 2.149 with 95% CI (1.271-3.633), No Use of spinal additive with P-value of 0.008 AOR 0.456 with 95% CI (0.255-0.814). Conclusion and recommendation:The incidence of hypotension to be 60% which shows that more than half of mothers receiving spinal anesthesia are developing hypotension, which is a significant figure and a big concern for safe modern anesthetic practice. Although study on this particular area is sensitive and resource intensive, further multicenter studies are needed to better understand these factors, for provision of safe anesthesia in modern obstetric practice | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6532 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Obstetrics Patients | |
| dc.subject | Cesarean Section | |
| dc.subject | Spinal Hypotension | |
| dc.title | Incidence and Risk Factors of Post Spinal Hypotension Among Obstetrics Patients Undergoing Cesarean Section at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia | |
| dc.type | Thesis |