Key result
Manual uterine displacement and a 12 cm wedge under the right hip resulted in a similar incidence of supine hypotension syndrome (6.66% vs 10.0%, p=1.000) during cesarean section.
Why the study?
Does manual uterine displacement improve hemodynamic stability compared to a wedge under the right hip in pregnant women undergoing caesarean section under spinal anesthesia?
Population
60 pregnant women with ASA status 1 or 2 with full term pregnancy, scheduled to undergo either elective or…
Comparison
Leftward Manual Uterine Displacement immediately… vs 12 cm wedge placed under right hip after spinal…
Design
Cohort
Follow-up
until delivery of the baby
Authors
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Comparable hemodynamics in small Level 5 cohort; leaves open optimal left uterine displacement technique for cesarean delivery.
Cohort (n=60)
No
Does manual uterine displacement improve hemodynamic stability compared to a wedge under the right hip in pregnant women undergoing caesarean section under spinal anesthesia?
Absolute Event Rate: 6.66% vs 10%
p-value: p=1.000
Both manual uterine displacement and a 12 cm wedge under the right hip are equally effective in maintaining hemodynamic stability and preventing supine hypotension syndrome during caesarean section under spinal anesthesia.
Gonuguntla et al. (2016) conducted a cohort in Supine hypotension syndrome during cesarean section (n=60). Manual Uterine Displacement vs. 12 cm wedge under right hip was evaluated on Incidence of supine hypotension syndrome (p=1.000). Manual uterine displacement and a 12 cm wedge under the right hip resulted in a similar incidence of supine hypotension syndrome (6.66% vs 10.0%, p=1.000) during cesarean section.
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