Manual Leftward Displacement of the Uterus in the Prevention of Maternal Hypotension During Cesarean Section: A Randomized Comparative Study
| Author | Saghar Samimi Sadeh | en |
| Author | Ehsan Bastanhagh | en |
| Author | Fardin Yousefshahi | en |
| Author | Jane Smith | en |
| Author | Mina Amirmohammadi | en |
| Orcid | Saghar Samimi Sadeh [0000-0001-8359-4411] | en |
| Orcid | Fardin Yousefshahi [0000-0002-3297-5537] | en |
| Orcid | Jane Smith [0000-0001-5532-2603] | en |
| Issued Date | 2021-12-31 | en |
| Abstract | Background: It is essential to maintain the hemodynamic state of mothers during delivery in cesarean section (CS). Research has shown that hypotension can be controlled by applying a 15° left lateral tilt. This can be achieved using an obstetric wedge or by tilting the operating table leftward. A systematic review of further research shows insufficient evidence to suggest whether it is effective or practical. Objectives: This study aims to evaluate the effectiveness of manual left tilting of the uterus on maintaining the hemodynamic status of mothers undergoing a CS delivery, where a spinal anesthetic has been given. Methods: Seventy women who were candidates for CS deliveries were randomly assigned into 2 groups as follows: group 1, the anaesthesiologist manually maneuvered the mother’s uterus to the left shortly after spinal anesthesia; group 2, the mothers’ uteruses were not displaced to the left. Sixty-seven of 70 participants completed the study. The hemodynamic status of the mother was reported before, during, and after surgery. The total doses of inotropic-vasopressors used to maintain hemodynamic stability were recorded. Results: The mother’s age, vital signs, and body mass index (BMI) before pregnancy and near term were not significantly different. Mothers maintained a significantly higher systolic blood pressure (SBP) when the uterus was displaced to the left (group 1). The mothers also required less ephedrine. Mothers in group 2 suffered a greater decrease in their SBP both after induction and before incision of the abdomen (group 2, P < 0.05). Conclusions: The manual tilting of the uterus to the left during CS is effective in maintaining blood pressure and decreases the need for vasopressors. | en |
| DOI | https://doi.org/10.5812/fga.123101 | en |
| URI | https://brieflands.com/journals/fga/articles/123101 | en |
| Keyword | Cesarean Section | en |
| Keyword | Hypotension | en |
| Keyword | Manual Uterus Displacement | en |
| Keyword | Blood Pressure | en |
| Keyword | Spinal Anesthesia | en |
| Publisher | Brieflands | en |
| Title | Manual Leftward Displacement of the Uterus in the Prevention of Maternal Hypotension During Cesarean Section: A Randomized Comparative Study | en |
| Type | Research Article | en |
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