Why the study?
Does transport in the supine position cause severe complications in pregnant women compared to lateral tilt?
Does transport in the supine position cause severe complications in pregnant women compared to lateral tilt?
Pregnant women should be transported in a position of lateral tilt to avoid aortocaval compression and its severe complications.
Case reports associate supine transport with aortocaval compression complications in pregnancy; leaves open need for prospective trials on lateral tilt.
Emergency transport of pregnant women is increasing in frequency. The physiologic changes of pregnancy cause a gravid woman and her fetus to be particularly vulnerable during transport. As the uterus enlarges, it compresses the vena cava and the aorta of the mother when she is in the supine position. Aortocaval compression may lead to uteroplacental insufficiency, supine hypotension, and potentially cardiopulmonary arrest. In addition, aortocaval compression is associated with placental abruption. This report presents three cases that illustrate the tragic outcomes of transporting pregnant women in the supine position. Pregnant women should be transported in a position of lateral tilt.
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Katz et al. (1990) studied this question.
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