PloS one
Abdominal circumference and its relationship with the incidence of hypotension during elective cesarean section under spinal anesthesia at public hospitals of Addis Ababa, Ethiopia, 2024
By Kono WB, Wayesa GA, Menchamo MW and 2 others.
Abstract
Background
Hypotension is a common complication in pregnant mothers 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 facilitate preventing hypotension.
Objectives
This study aims to assess the relationship between the abdominal circumference of pregnant women and the occurrence of hypotension during cesarean section under spinal anesthesia at public hospitals in Addis Ababa, Ethiopia, 2024.
Method
A prospective observational study through a simple systematic random sampling technique was conducted on 360 pregnant mothers who underwent elective cesarean section under spinal anesthesia from January 7, 2024, to March 30, 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 were categorized by their median abdominal circumference, < 102 cm (small abdominal circumference (SAC)) and ≥102 cm (large abdominal circumference (LAC)). The chi-square test was used to compare the numerical and percentage representations of the categorical variables. Descriptive analyses, bivariate logistic regression, and multivariate regression were carried out. In multivariate variables, p ≤ 0.05 was used as statistical significance, and an odds ratio was used for the strength of association.