Supine Hypotensive Syndrome of Pregnancy: A Review of Current Knowledge. Issue 1 (22nd March 2023)

• Record Type: Journal Article
• Authors: Massoth, C.; Chappell, D.; Kranke, P.; Wenk, M.
• Is Part Of: Obstetric anesthesia digest. Volume 43:Issue 1(2023)
• Page Start: 7
• Page End: 7
• Publication Date: 2023-03-22
• Subjects: Obstetric Complications; Anesthesia in obstetrics -- Periodicals; Anesthesia in obstetrics -- Abstracts -- Periodicals; 617.968205
• DOI: 10.1097/01.aoa.0000912212.90655.26
• Languages: English
• ISSNs: 0275-665X

Abstract

Abstract : ( Eur J Anaesthesiol . 2022;39:236–243) Supine hypotensive syndrome was first described in 1953, which was used to describe acute hypotension associated with pallor, sweating, increased femoral venous pressure, and increased pulse rate during pregnancy when lying in a supine position for 3 to 7 minutes. It continues to be a peripartum challenge in the field of obstetrics today, and the use of the 15 degrees lateral tilt (first introduced in the 1970s) during labor and cesarean section remains a mandatory clinical practice worldwide. Modern physiological and anatomic knowledge prompts a reassessment of guidelines regarding supine hypotensive syndrome of pregnancy. This review looks at the definition and physiology of supine hypotensive syndrome; symptomatic vs. asymptomatic parturients; hemodynamic measurements and compression of the aorta when in the supine position; maternal position and fetal compromise; and implications for obstetric anesthesia.