Java Nursing Journal
Vol. 3 No. 1 (2025): November - February 2025

The Correlation of Sympathetic Block Elevation and Body Mass Index with the Incidence of Hypotension in Sectio Caesarea Patients with Spinal Anesthesia

Indra, Indra pranata (Unknown)
Burhan, Asmat (Unknown)
Heri Wibowo, Tophan (Unknown)
Suandika, Made (Unknown)



Article Info

Publish Date
28 Feb 2025

Abstract

Background: Hypotension is a frequent complication seen in spinal anesthesia. During spinal anesthesia, hypotension is more common with increasing block height, and an elevated body mass index (BMI) is considered a risk factor. Purpose: The aims of this research were to study the incidence of hypotension associated with spinal anesthesia for cesarean section and to relate block height to BMI. Methods: This is a cross-sectional correlational analytic study. A purposive sampling technique was used in picking 42 participants. The main instrument used for data collection was observation sheets. Results: The Spearman rank test for bivariate data showed that 35.7% of participants with a BMI greater than 25 experienced hypotension. In addition, 64.3% of participants with mild block elevation also developed hypotension. The Spearman rank test indicated a correlation value of -0.483 with a p-value of 0.001, signifying a strong and negative statistically significant relationship between hypotension and elevation of sympathetic block. Conclusion: There exists a significant relation between BMI and incidence of hypotension, with correlation values of -0.461 and a p-value of 0.002, further asserting that both BMI and block height are important characteristics that can be utilized in predicting the hypotension following spinal anesthesia in cesarean section patients

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Journal Info

Abbrev

JNJ

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing

Description

nursing science, nursing management principles, nursing policy, Nursing Ethics, health care, nursing education, and nursing practice in Asian communities worldwide to a broad international audience. Article Review in Nursing, Medical surgery nursing, Nursing Anesthesia, advanced nursing, ...