Skip to main content
. 2020 Jul 1;2020(7):CD002251. doi: 10.1002/14651858.CD002251.pub4

Hartley 2001.

Study characteristics
Methods RCT
Participants 40 women
Inclusion criteria: ASA I or II undergoing elective CS
Exclusion criteria: weight > 90 kg, height < 150 cm or > 175 cm, multiple pregnancy, diabetes or hypertension
Interventions Lateral versus supine wedged
Group 1: right‐lateral position adopted 2 min after spinal injection for 10 min, then turned to supine wedged (right hip) position
Group 2: supine‐wedged (right hip) position adopted 1 min after spinal injection and maintained throughout
Intervention occurred after spinal injection.
All women received a standardised crystalloid preload and anaesthetic technique and dose.
Bradycardia was managed with atropine.
Hypotension was managed with ephedrine.
Outcomes Maternal: hypotension; heart rate; block height; time to maximum block; time to birth; duration of hypotension; nausea/dizziness; ephedrine requirements
Notes Hypotension was defined as SBP < 80% baseline
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomisation and allocation concealment: sealed envelope
Allocation concealment (selection bias) Unclear risk Sealed envelope
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Not reported
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias)
All outcomes Low risk Losses to follow‐up: not stated
Selective reporting (reporting bias) Low risk None apparent
Other bias Low risk None apparent