Effect of composite positioning and oxytocin on hypotension post-lumbar anesthesia in cesarean section: A retrospective study.

This retrospective study evaluated the effects of composite positioning and oxytocin administration on hypotension following lumbar anaesthesia in caesarean sections. Information regarding 120 patients was collected, where 60 patients were in the composite position and 60 patients in supine position. In order to avoid anaemia and post-partum uterine atony all patients, regardless of their group, were given intravenous oxytocin after the delivery of the placenta. A statistical difference was observed regarding hypotension, composite positioning reduced the occurrence of hypotension and the time taken before onset of hypotension was greater compared to subjects who did not use the method, 30% and 50% respectively (p=0.03), 6.38 and 4.67 minutes (p = 0.02) respectively. The requirements in vasopressors were reportedly slightly lower in the composite group. Patients in the composite group improved in the least postoperative pain and fatigue scores VAS pain score was 3.10 in the composite group while that of the supine group was 4.25 (p = 0.02), fatigue score was 2.75 in the composite group while that of the supine group was 3.90 (p = 0.03). The present work identifies the possible clinical advantages of composite positioning as an approach to concern hypotension and enhance the postnatal recovery process.