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Maternal position during caesarean section for preventing maternal and neonatal complications

  1. Catherine Cluver1,2,*,
  2. Natalia Novikova3,
  3. G Justus Hofmeyr4,
  4. David R Hall1

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 28 MAR 2013

Assessed as up-to-date: 13 DEC 2012

DOI: 10.1002/14651858.CD007623.pub3


How to Cite

Cluver C, Novikova N, Hofmeyr GJ, Hall DR. Maternal position during caesarean section for preventing maternal and neonatal complications. Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD007623. DOI: 10.1002/14651858.CD007623.pub3.

Author Information

  1. 1

    Stellenbosch University and Tygerberg Hospital, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, Tygerberg, Western Cape, South Africa

  2. 2

    University of Melbourne, Mercy Hospital for Women, Melbourne, Victoria, Australia

  3. 3

    Walter Sisulu University, Department of Obstetrics and Gynaecology, East London Hospital Complex, East London, South Africa

  4. 4

    University of the Witwatersrand, University of Fort Hare, Eastern Cape Department of Health, Department of Obstetrics and Gynaecology, East London Hospital Complex, East London, Eastern Cape, South Africa

*Catherine Cluver, cathycluver@hotmail.com.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 28 MAR 2013

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Brock-Utne 1978 {published data only}
  • Brock-Utne JG, Buley RJR, Downing JW, Cuerden C. Advantages of left over right lateral tilt for caesarean section. South African Medical Journal 1978;54(12):489-92.
Calvache 2011 {published data only}
  • Calvache JA, Munoz MF, Baron FJ. Hemodynamic effects of a right lumbar-pelvic wedge during spinal anesthesia for cesarean section. International Journal of Obstetric Anesthesia 2011;20(4):307-11.
Cheesman 2011 {published data only}
  • Cheesman K, Douglas JM, Massey S, Saran S, Murdoch A. The effect of head elevated ramped position during combined spinal epidural anaesthesia for elective cesarean delivery. International Journal of Obstetric Anesthesia 2011;20(Suppl 1):S9.
Karuparthy 1989 {published data only}
  • Downing JW, Karuparthy VR, Husain FJ, Knape KG, Blanchard J, Solomon D, et al. Posture and the incidence of venous air embolism (VAE) during cesarean section (CS). Anesthesiology 1989;71:A910.
  • Karuparthy VR, Downing JW, Husain FJ, Knape KG, Blanchard J, Solomon D, et al. Incidence of venous air embolism during cesarean section is unchanged by the use of a 5 to 10° head-up tilt. Anaesthesia & Analgesia 1989;69(5):620-3.
Kundra 2007 {published data only}
Lew 1993 {published data only}
Matorras 1998 {published data only}
  • Matorras R, Tacuri C, Anibal N, Gutierrez de Teran G, Cortes J. Lack of benefits of left tilt in emergent cesarean sections: a randomised study of cardiotocography, cord acid-base status and other parameters of the mother and the fetus. Journal of Perinatal Medicine 1998;26(4):284-92.
Miyabe 1997 {published data only}
  • Miyabe M, Sato S. The effect of head-down tilt position on arterial blood pressure after spinal anesthesia for cesarean delivery. Regional Anesthesia 1997;22(3):239-42.
Rees 2002 {published data only}
Zheng 2001 {published data only}
  • Zheng L. Effect of blood pressure of cesarean section patients in different postures. Chinese Nursing Research 2001;15:325-6.
Zhou 2008 {published data only}
  • Zhou ZQ, Shao Q, Zeng Q, Song J, Yang JJ. Lumbar wedge versus pelvic wedge in preventing hypotension following combined spinal epidural anaesthesia for caesarean delivery. Anaesthesia and Intensive Care 2008;36(6):835-9.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Abouleish 1980 {published data only}
  • Abouleish E, Kang YG, Uram M, McKenzie R. Impedance cardiography and uterine displacement devices. Anaesthesiology 1980;3:S321.
Akhtar 2011 {published data only}
  • Akhtar FM, Kazi WA, Rizvi A, Mushtaq R, Alia A. Prevention of hypotension in caesarean delivery under spinal anaesthesia; new modified supine wedged position. Anaesthesia, Pain and Intensive Care 2011;15(2 Suppl 1):157.
Alahuhta 1994 {published data only}
  • Alahuhta S, Karinen J, Lumme R, Jouppila R, Hollmen AI, Jouppila P. Uteroplacental haemodynamics during spinal anaesthesia for caesarean section with two types of uterine displacement. International Journal of Obstetric Anesthesia 1994;3(4):187-92.
Amaro 1998 {published data only}
  • Amaro AR, Capelli EL, Cardoso MMSC, Rosa MCR, Carvalho JCA. Manual left uterine displacement or modified Crawford's edge. A comparative study in spinal anesthesia for Cesarean delivery [Deslocamento uterino manual ou cunha de Crawford modificada? Estudo comparativo em raquianestesia para cesarianas]. Revista Brasileira De Anestesiologia 1998;48:99-104.
Buley 1977 {published data only}
Clemetson 1973 {published data only}
Crawford 1972 {published data only}
Downing 1974 {published data only}
Hignett 2011 {published data only}
  • Hignett R, Fernando R, McGlennan A, McDonald S, Stewart A, Columb M, et al. A randomized crossover study to determine the effect of a 30 degrees head-up versus a supine position on the functional residual capacity of term parturients. Anesthesia and Analgesia 2011;113(5):1098-102.
Kundra 2012 {published data only}
Sanchez 1985 {published data only}
  • Sanchez JC, Gallo M, Llamas C, Torres A, Arbues J. Perinatal effects of cesarian section in left lateral position (15%) vs supine position. Archives of Gynecology 1985;237(Suppl 1):123.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Betran 2007
Deeks 2001
  • Deeks JJ, Altman DG, Bradburn MJ. Statistical methods for examining heterogeneity and combining results from several studies in meta-analysis. In: Egger M, Davey Smith G, Altman DG editor(s). Systematic Reviews in Health Care: Meta-analysis in Context. London: BMJ Books, 2001.
Fong 1991
  • Fong J, Gadalla F, Druzin M. Venous emboli occurring caesarean section: the effect of patient position. Canadian Journal of Anaesthesia 1991;38(2):191-5.
Higgins 2008
  • Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.1 [updated September 2008]. The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
Higgins 2011
  • Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Kinsella 1992
  • Kinsella SM, Whitwam JG, Spencer JA. Reducing aortocaval compression: how much tilt is enough?. BMJ 1992;305(6853):539-40.
Postaci 2006
  • Postaci A, Karabeyoglu I, Erdogan G, Turan O, Dikmen B. A case of sciatic neuropathy after caesarean section under spinal anaesthesia. International Journal of Obstetric Anesthesia 2006;15(4):317-9.
RevMan 2008
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). 5.0. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2008.
RevMan 2011
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2011.
Robinson 1987
Villar 2006
  • Villar J, Valladares E, Wojdyla D, Zavaleta N, Carroli G, Velazco A, et al. Caesarean delivery rates and pregnancy outcomes: the 2005 WHO global survey on maternal and perinatal health in Latin America. Lancet 2006;367(9525):1819-29.

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Cluver 2010