Leg Elevation to Prevent Hypotension During Labor

Completed · Not applicable

Conditions studied: Hypotension, Labor Complication

In brief

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 approximately 40 minutes. Arm 2: Patient will be put in a left tilt position with her hip on a wedge and no leg elevation. She'll remain in this position for approximately 40 minutes.

Key facts

Study ID: NCT05674838
Run by: TriHealth Inc.
People needed: 102
Starts: 2022-10-29
Expected to finish: 2025-08-12
Last updated by the study team: 2025-08-29

Who can join

Age: 18 and older. Sex: female. Healthy volunteers: accepted.

You may qualify if…

Laboring at Good Samaritan Hospital Labor \& Delivery Unit
37+ weeks gestation
Planned vaginal delivery
Planned epidural analgesia

You may not qualify if…

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

Where it is running

Good Samaritan Hospital — Cincinnati, Ohio, United States

Full record on ClinicalTrials.gov

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