Maternal position during caesarean section for preventing maternal and neonatal complications

Abstract

There is limited evidence to support or clearly disprove the value of the use of tilting or flexing the table, the use of wedges and cushions or the use of mechanical displacers. A left lateral tilt may be better than a right lateral tilt and manual displacers may be better than a left lateral tilt but larger studies with more robust data are needed to confirm these findings.

Comparison between Cutting Diathermy and Surgical Scalpel for Skin Incision during Cesarean Section

“…The median VAS score in the diathermy-group at 24 hours' post-operative was 3 with range between 2 and 4 while in the scalpelgroup was 4 with range between 2 and 4 with a significant change among the studied groups (p=0.015). Table (1) As shown in this table, the median volume of bleeding during incision in the diathermy-group was 11.5 ml (range 9 to 15 ml) which was statistically significantly lower as in comparison to the scalpel-group (median amount was 22 ml with range between 18 and 26 ml). The median incision time in the diathermy-group was 86 seconds (range 65 to 99 sec) which was statistically significantly lower as in comparison to the scalpel-group (median duration was 133 seconds with range between 120 and 154 seconds).…”

Comparison between Cutting Diathermy and Surgical Scalpel for Skin Incision during Cesarean Section

“…The median VAS score in the diathermy-group at 24 hours' post-operative was 3 with range between 2 and 4 while in the scalpelgroup was 4 with range between 2 and 4 with a significant change among the studied groups (p=0.015). Table (1) As shown in this table, the median volume of bleeding during incision in the diathermy-group was 11.5 ml (range 9 to 15 ml) which was statistically significantly lower as in comparison to the scalpel-group (median amount was 22 ml with range between 18 and 26 ml). The median incision time in the diathermy-group was 86 seconds (range 65 to 99 sec) which was statistically significantly lower as in comparison to the scalpel-group (median duration was 133 seconds with range between 120 and 154 seconds).…”

Supine hypotensive syndrome of pregnancy

“…A Cochrane analysis including 11 studies with a total of 857 women undergoing caesarean section reported no effect on SBP (mean difference 2.70, 95% CI -1.47 to 6.87) or incidence of hypotensive episodes (risk ratio 0.11, 95% CI 0.01 to 1.94) comparing left lateral tilt to a horizontal position. Likewise, no significant differences in maternal heart rate, 5-min Apgar scores or umbilical cord pH was found 58 …”

Vision-based detection and quantification of maternal sleeping position in the third trimester of pregnancy in the home setting–Building the dataset and model

“…and tilting from the supine position to the right tilt position may actually worsen the compression of the IVC (rather than relieving it like tilting to the left does) and reduces cardiac output, and this effect is supported by several studies [82][83][84][85][86][87].…”

Comparison between Cutting Diathermy and Surgical Scalpel for Skin Incision during Cesarean Section

“…The median VAS score in the diathermy-group at 24 hours' post-operative was 3 with range between 2 and 4 while in the scalpelgroup was 4 with range between 2 and 4 with a significant change among the studied groups (p=0.015). Table (1) As shown in this table, the median volume of bleeding during incision in the diathermy-group was 11.5 ml (range 9 to 15 ml) which was statistically significantly lower as in comparison to the scalpel-group (median amount was 22 ml with range between 18 and 26 ml). The median incision time in the diathermy-group was 86 seconds (range 65 to 99 sec) which was statistically significantly lower as in comparison to the scalpel-group (median duration was 133 seconds with range between 120 and 154 seconds).…”

Supine hypotensive syndrome of pregnancy

“…A Cochrane analysis including 11 studies with a total of 857 women undergoing caesarean section reported no effect on SBP (mean difference 2.70, 95% CI -1.47 to 6.87) or incidence of hypotensive episodes (risk ratio 0.11, 95% CI 0.01 to 1.94) comparing left lateral tilt to a horizontal position. Likewise, no significant differences in maternal heart rate, 5-min Apgar scores or umbilical cord pH was found 58 …”

Vision-based detection and quantification of maternal sleeping position in the third trimester of pregnancy in the home setting–Building the dataset and model

“…and tilting from the supine position to the right tilt position may actually worsen the compression of the IVC (rather than relieving it like tilting to the left does) and reduces cardiac output, and this effect is supported by several studies [82][83][84][85][86][87].…”

Comparison between Cutting Diathermy and Surgical Scalpel for Skin Incision during Cesarean Section

“…The median VAS score in the diathermy-group at 24 hours' post-operative was 3 with range between 2 and 4 while in the scalpelgroup was 4 with range between 2 and 4 with a significant change among the studied groups (p=0.015). Table (1) As shown in this table, the median volume of bleeding during incision in the diathermy-group was 11.5 ml (range 9 to 15 ml) which was statistically significantly lower as in comparison to the scalpel-group (median amount was 22 ml with range between 18 and 26 ml). The median incision time in the diathermy-group was 86 seconds (range 65 to 99 sec) which was statistically significantly lower as in comparison to the scalpel-group (median duration was 133 seconds with range between 120 and 154 seconds).…”

Supine hypotensive syndrome of pregnancy

“…A Cochrane analysis including 11 studies with a total of 857 women undergoing caesarean section reported no effect on SBP (mean difference 2.70, 95% CI -1.47 to 6.87) or incidence of hypotensive episodes (risk ratio 0.11, 95% CI 0.01 to 1.94) comparing left lateral tilt to a horizontal position. Likewise, no significant differences in maternal heart rate, 5-min Apgar scores or umbilical cord pH was found 58 …”

Vision-based detection and quantification of maternal sleeping position in the third trimester of pregnancy in the home setting–Building the dataset and model

“…and tilting from the supine position to the right tilt position may actually worsen the compression of the IVC (rather than relieving it like tilting to the left does) and reduces cardiac output, and this effect is supported by several studies [82][83][84][85][86][87].…”