EFFECTS OF SUPINE HYPOTENSION SYNDROME ON PREGNANT FEMALES UNDERGOING C-SECTION UNDER SPINAL ANESTHESIA

Abstract

Introduction: Pregnancy induces profound physiological changes to support fetal development, including alterations in cardiovascular dynamics. One notable complication is supine hypotension syndrome (SHS), characterized by maternal hypotension due to compression of the inferior vena cava by the gravid uterus. Cesarean section (C-section) under spinal anesthesia exacerbates the risk of SHS. Despite its clinical significance, limited research has focused on this specific population, warranting further investigation.

Methodology: A prospective observational study was conducted involving pregnant females undergoing C-sections. Data on maternal demographics, medical history, hemodynamic parameters, and fetal outcomes were collected. SHS was assessed based on clinical manifestations, preventive strategies were implemented, and fetal outcomes were evaluated.

Results: Baseline characteristics of participants revealed a relatively young population with common comorbidities. SHS prevalence was notable, with maternal hypotension being the primary manifestation. Preventive strategies, particularly the use of a 3D-printed modified uterine displacement device, showed promising results in reducing SHS incidence. Fetal outcomes were generally favorable, although some infants required resuscitation or experienced adverse events.

Conclusion: This study contributes valuable insights into SHS effects during C-sections under spinal anesthesia. The findings underscore the need for tailored interventions to mitigate SHS risk and optimize maternal and neonatal outcomes. The use of innovative preventive measures, such as the 3D-printed device, shows promise in enhancing perioperative care.