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 |
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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. |
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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 |