Leg Elevation to Prevent Hypotension During Labor

Launched by TRIHEALTH INC. · Dec 21, 2022

Keywords

ClinConnect Summary

When hypotension is related to epidural placement, this can occur within 15-60 minutes after placement. The purpose of this study is to build upon this preliminary work and to use a randomized controlled trial to examine the effectiveness of leg elevation in preventing hypotension among a larger sample of laboring women who receive an epidural analgesia. This study will use a randomized, non-blinded, controlled design with two arms:

Arm 1: Patient will be put in a left tilt position with her hip on a wedge and both legs elevated on a peanut ball. She'll remain in this position for approxim...

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Laboring at Good Samaritan Hospital Labor \& Delivery Unit
• • 37+ weeks gestation
• • Planned vaginal delivery
• • Planned epidural analgesia
• Exclusion Criteria:
• • Under 18 years old
• • Does not speak English
• • Unable to consent to involvement in the research study
• • Attended less than 3 prenatal care office visits
• • Diagnosed with fetal demise
• • Diagnosed with fetal anomalies
• • Contraindications to both legs being elevated (ex: fractured bones, lower limb amputation, etc.)
• • Contraindications to receiving 1L of IV fluids
• • Requiring IV hypertensive medications
• • Requiring IV magnesium