Influence of the prone position on a stretcher for pregnant women on maternal and fetal hemodynamic parameters and comfort in pregnancy

Oliveira, Cláudia de; Lopes, Marco Antônio Borges; Rodrigues, Agatha Sacramento; Zugaib, Marcelo; Francisco, Rossana Pulcineli Vieira

doi:10.6061/clinics/2017(06)01

Cited by 24 publications

(20 citation statements)

References 17 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, the procedure becomes even more demanding for nurses, and fetal monitoring is also difficult once the patient is prone positioned. 9 On the other hand, the prone position has been described as safe and potentially advantageous in healthy or pre-eclamptic pregnant patients, 21,22 and recently described in pregnant patients with COVID-19. 17,23,24 Despite encouraging, data on COVID-19 patients, both pregnant and nonpregnant, remain limited.…”

Section: Discussionmentioning

confidence: 99%

Prone positioning and convalescent plasma therapy in a critically ill pregnant woman with COVID‐19

Donzelli

Ippolito

Catalisano

et al. 2020

Clinical Case Reports

View full text Add to dashboard Cite

As the spread of COVID-19 continues worldwide, a significant number of pregnant women are getting infected and need care. This case describes a 27.4 weeks pregnant woman with critical COVID-19, treated with protective mechanical ventilation, prone positioning, and hyperimmune plasma. She was discharged with positive maternal and perinatal outcome. As the number of patients with Coronavirus disease 2019 (COVID-19) increases worldwide, 1 many experimental or compassionate interventions have been considered, 2 but their efficacy remains controversial in most of the cases. 3 Both prone positioning, already in use in patients with severe acute respiratory distress syndrome (ARDS), 4,5 and hyperimmune plasma therapy have been proposed for COVID-19. 6,7 To date, limited reports have been published on the use of these treatments in pregnant women with COVID-19. 8,9 The use of experimental treatments in pregnant women often leads to concerns in both clinicians and researchers. 10 Nevertheless, COVID-19 infection in pregnancy leads to hospitalization for a significant proportion of women with 10% requiring respiratory support and this number is expected to increase during the spread of the pandemic, 11,12 and interventions which have been proven effective are

show abstract

Section: Discussionmentioning

confidence: 99%

Prone positioning and convalescent plasma therapy in a critically ill pregnant woman with COVID‐19

Donzelli

Ippolito

Catalisano

et al. 2020

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…The authors created a special prototype stretcher for pregnant women. They concluded that the prone position was considered safe and comfortable and could be advantageous for improving oxygen saturation and reducing the systolic blood pressure and respiratory rate [43].…”

Section: The Assistance Of the Physiotherapist In Maternity Hospitalsmentioning

confidence: 99%

A guide for Physiotherapeutic assistance during pregnancy, labour, and the postpartum period in times of COVID-19

Pitangui¹,

Driusso²,

Mascarenhas³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Many recommendations contained in the guidelines available to date are specifically related to clinical practice in obstetrics. Although many physiotherapists are facing similar issues to gynecologists and obstetricians about the care and well-being of pregnant women with confirmed or suspected COVID-19, no specific guidelines were found regarding the physiotherapist's practice in this area. This article aimed to offer guidance regarding physiotherapy in obstetrics during the COVID-19 pandemic. Methods A group of experts in physiotherapy in women's health performed a literature search and proposed a clinical guideline for the physiotherapy management of assistance during pregnancy, labour, and the postpartum period in times of COVID-19. This document was reviewed by other physiotherapists, which analyzed the suggested topics and reached a consensus. Results The recommendation addresses in general terms concerning pregnancy and the postpartum period during the COVID-19 pandemic, summarize the physiotherapy care in obstetrics, the practice of the physiotherapist at the outpatient level, physiotherapy clinics, and at pregnant women’s home. Recommendations on the safety of the care environment; general aspects of care to pregnant women without symptoms of COVID-19; specific aspects of care for pregnant women without symptoms of COVID-19; care to pregnant women with COVID-19; the practice of activity and physical exercises monitored in pregnant women and the postpartum in times of pandemic and about the physiotherapist's assistance in the maternity hospital with parturients and puerperal women are still presented. Conclusion This study provides some guidance for continuity of the physiotherapist's work in obstetrics during the COVID-19 pandemic. Telephysiotherapy is a possibility for the permanence of care during the pandemic, opening new perspectives for the expansion of practice and research in women’s health, especially in obstetrics.

show abstract

“…In non-pregnant critically ill adults, respiratory mechanics are also improved [ 2 , 3 ]. Despite these advantages, the prone position is rarely used in medical settings in pregnancy and there is little information about the position in pregnancy [ 4 ]. There is no published information about the prone position in women with preeclampsia.…”

Section: Introductionmentioning

confidence: 99%

The prone position in healthy pregnant women and in women with preeclampsia – a pilot study

Dennis

Hardy

Leeton

2018

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundThe prone position is rarely used in medical settings in pregnancy. There is no published information about the prone position in women with preeclampsia. This study examined the feasibility and acceptability of the prone position in pregnant women, and the short-term effect of the prone position on blood pressure (BP) in term healthy pregnant women and in women with preeclampsia.MethodsAfter ethics approval, written consent and trial registration (ACTRN:12615000160538 registered 18/02/2015, date of first participant enrolled 03/03/2015), 50 healthy term pregnant women and 15 women with preeclampsia had BP, heart rate (HR), oxygen saturation (SpO2), respiratory rate (RR), fetal heart rate (FHR) and comfort levels measured in two positions: left lateral, and prone. Measurements were after five minutes rest in each position.ResultsMean ± SD age, gestation and body mass index for healthy pregnant women was 33 ± 4.1 years, 38 ± 1.0 weeks and 27 ± 3.2 kg.m− 2 and for women with preeclampsia was 32 ± 4.7 years, 36 ± 3.4 weeks, 31 ± 5.6 kg.m− 2 respectively. No clinically significant changes occurred in healthy pregnant women in the prone position. Systolic BP was reduced in the prone position in women with preeclampsia (P = 0.019, mean difference − 6.6 mmHg, 95% confidence interval − 11.9 to − 1.3 mmHg). 33% of women with preeclampsia experienced a 10 mmHg or greater reduction in systolic BP in the prone position. 42% of healthy pregnant women and 47% of women with preeclampsia preferred the prone position to lateral.ConclusionsThis is the first study to examine the prone position in women with preeclampsia. For short periods of time the prone position is feasible and comfortable in pregnant women including those at term. The prone position may reduce systolic BP in women with preeclampsia without obvious adverse effects. Larger studies with women lying for longer periods in the prone position are required. Pregnancy should not be a contraindication to the prone position for short periods of time.Trial registration ACTRN:12615000160538 Electronic supplementary materialThe online version of this article (10.1186/s12884-018-2073-x) contains supplementary material, which is available to authorized users.

show abstract

Influence of the prone position on a stretcher for pregnant women on maternal and fetal hemodynamic parameters and comfort in pregnancy

Cited by 24 publications

References 17 publications

Prone positioning and convalescent plasma therapy in a critically ill pregnant woman with COVID‐19

Prone positioning and convalescent plasma therapy in a critically ill pregnant woman with COVID‐19

A guide for Physiotherapeutic assistance during pregnancy, labour, and the postpartum period in times of COVID-19

The prone position in healthy pregnant women and in women with preeclampsia – a pilot study

Contact Info

Product

Resources

About