[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100581965":3},{"organization":4,"outcomesModule":7,"designInfo":13,"detailedDescription":11,"studyPopulation":11,"armGroups":22,"interventions":35,"overallOfficials":41,"centralContacts":45,"locations":51,"responsibleParty":64,"collaborators":68,"id":70,"slug":11,"hasResults":71,"nctId":72,"briefTitle":73,"officialTitle":73,"acronym":11,"eligibilityCriteria":74,"healthyVolunteers":75,"sex":76,"minAge":77,"maxAge":78,"enrollmentInfo":79,"targetDuration":11,"studyType":82,"phases":83,"briefSummary":85,"conditions":86,"keywords":11,"overallStatus":90,"whyStopped":11,"lastUpdateSubmitDate":91,"lastUpdatePostDateStruct":92,"startDateStruct":95,"completionDateStruct":97,"leadSponsor":99,"locationsCount":100},{"fullName":5,"class":6},"Aswan University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":11,"otherOutcomes":11},[9],{"measure":10,"description":11,"timeFrame":12},"To compare the incidence and severity of hypotension in immediate supine, sitting, and semi-sitting positions during cesarean delivery.",null,"9 Months",{"allocation":14,"interventionModel":15,"interventionModelDescription":11,"primaryPurpose":16,"observationalModel":11,"timePerspective":11,"maskingInfo":17},"RANDOMIZED","PARALLEL","PREVENTION",{"masking":18,"maskingDescription":11,"whoMasked":19},"DOUBLE",[20,21],"CARE_PROVIDER","OUTCOMES_ASSESSOR",[23,28,32],{"label":24,"type":25,"description":11,"interventionNames":26},"Group A (N=72): Immediate Supine Position","ACTIVE_COMPARATOR",[27],"Behavioral: Positioninng during Cs",{"label":29,"type":30,"description":11,"interventionNames":31},"Group В (N=72): Sitting Position","EXPERIMENTAL",[27],{"label":33,"type":30,"description":11,"interventionNames":34},"Group С (N=72): Semi-Sitting Position",[27],[36],{"type":37,"name":38,"description":39,"armGroupLabels":40,"otherNames":11},"BEHAVIORAL","Positioninng during Cs","1. Group A (N=72): Immediate Supine Position (Control):\n\n   Immediately after administering spinal anesthesia, participants will be placed in a supine position. To reduce the risk of aortocaval compression, a slight left lateral tilt (approximately 15 degrees) will be applied. This is the traditional positioning method and serves as the control group for comparison.\n2. Group В (N=72): Sitting Position:\n\n   After spinal anesthesia, participants will be positioned in a sitting position with the ack supported at a 90-degree angle for the first 2 minutes. Knees will be bent, and feet will be supported.\n3. Group С (N=72): Semi-Sitting Position:\n\nAfter spinal anesthesia, participants will be positioned in a semi-sitting position with the back supported at the back supported at for the first 2 minutes.\n\nSimilar to the sitting position, knees and feet will be flat.",[24,29,33],[42],{"name":43,"affiliation":5,"role":44},"Ayman Mohamadi Eldemrdash, MD Of Anesthesia","STUDY_CHAIR",[46],{"name":47,"role":48,"phone":49,"phoneExt":11,"email":50},"Ahmed Yousef Mohamed, Resident of Anesthesia","CONTACT","+201112842063","Maxedo.67@gmail.com",[52],{"facility":53,"status":11,"city":54,"state":55,"zip":11,"country":56,"countryCode":57,"cosmosGeoPoint":58,"geoPoint":63,"contacts":11},"Aswan University Hospital","Aswān","Aswan Governorate","Egypt","EG",{"type":59,"coordinates":60},"Point",[61,62],32.89942,24.09082,{"lat":62,"lon":61},{"type":65,"investigatorFullName":66,"investigatorTitle":67,"investigatorAffiliation":5,"oldNameTitle":11,"oldOrganization":11},"PRINCIPAL_INVESTIGATOR","Ahmed Yousef Mohamed","Resident of Anethesia and Intensive Care",[69],{"name":53,"class":6},"100581965",false,"NCT06857162","Comparison of Maternal Hemodynamics During Spinal Anesthesia with Different Cesarean Delivery Positioning","Inclusion Criteria:\n\n* Pregnant women scheduled for elective cesarean delivery.\n* Age between 18 and 40 years.\n* ASA (American Society of Anesthesiologists) physical status II.\n\nExclusion Criteria:\n\n* Emergency cesarean delivery.\n* Pre-existing cardiovascular disease.\n* Severe preeclampsia or eclampsia.\n* Multiple pregnancies.\n* Known fetal anomalies.",true,"FEMALE","20 Years","40 Years",{"count":80,"type":81},216,"ESTIMATED","INTERVENTIONAL",[84],"NA","Cesarean delivery is a common surgical procedure, and maintaining maternal hemodynamic stability during the procedure is crucial for both maternal and fetal outcomes . Hemodynamic instability, such as hypotension following spinal anesthesia, is a frequent complication and can lead to adverse maternal and neonatal outcomes. Traditionally, after spinal anesthesia, women are positioned supine, sometimes with a slight left lateral tilt to mitigate the risk of aortocaval compression . However, recent studies and clinical observations suggest that delayed supine positioning-keeping the patient in a sitting or semi-sitting position for a period following spinal anesthesiamay improve hemodynamic stability. These alternative positions may help to mitigate the abrupt drop in blood pressure commonly seen after spinal anesthesia by allowing for a more gradual redistribution of blood volume . Understanding the optimal positioning strategy could lead to improved clinical protocols that enhance maternal and fetal safety. By comparing immediate supine positioning with delayed supine positioning (in sitting and semi-sitting positions), this study aims to provide evidence on which positioning strategy offers the best hemodynamic outcomes.",[87,88,89],"This Study Aims to Provide Evidence on Which Positioning Strategy Offers the Best Hemodynamic Outcomes","Maternal Hemodynamic","Maternal Positioning During CS","NOT_YET_RECRUITING","2025-03-15",{"date":93,"type":94},"2025-03-19","ACTUAL",{"date":96,"type":81},"2025-04-25",{"date":98,"type":81},"2025-09-01",{"name":5,"class":6},1]