High BMI may raise risk of failed spinal block during C-Section, study finds
NCT ID NCT07367386
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked back at medical records of nearly 2,000 severely obese pregnant women (BMI 45 or higher) who had a C-section. The goal was to see if higher body weight made it more likely that the spinal anesthesia would fail, requiring general anesthesia instead. Researchers also checked for side effects in the mother and baby, like low blood pressure or low Apgar scores.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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1,917 people
The number who actually took part.
- Started
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Feb 2025
- Finished
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Jan 2026
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Class III Obese parturients undergoing C-section under neuraxial blocks in the operating rooms of Women's Wellness and Research Center from 1 January 2025 to 1 December 2024.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age \> or equal to 18 years * BMI ≥ 45 kg/m² * Gestational age ≥ 28 weeks Exclusion Criteria: * Age \< 18 years * BMI \< 45 kg/m² * History of venous thromboembolism or arterial disease (e.g., DVT, PE, angina, MI, or stroke) * Severe active lung, cardiovascular, renal, or liver disorders; autoimmune disease; or hemoglobinopathies * Hereditary or acquired thrombophilia (e.g., Factor V Leiden mutation or antithrombin deficiency) * In utero fetal demise (IUFD) * Failed operative vaginal delivery * Cesarean for the second twin or multiple pregnancies (triplets or higher) * IVF pregnancy * Intraoperative bleeding\>1500mL * Emergency cesarean section (Category I) * Presence of large uterine fibroid ≥10 cm
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Women's Wellness and Research Center
Doha, Qatar