The prone position in healthy pregnant women and in women with preeclampsia - a pilot study

被引:25
作者
Dennis, Alicia T. [1 ,2 ,3 ,4 ]
Hardy, Liesel [5 ]
Leeton, Liz [4 ]
机构
[1] Univ Melbourne, Dept Pharmacol, Parkville, Vic, Australia
[2] Univ Melbourne, Dept Obstet & Gynaecol, Parkville, Vic, Australia
[3] Univ Melbourne, Dept Med & Radiol, Parkville, Vic, Australia
[4] Royal Womens Hosp, Dept Anaesthesia, Locked Bag 300,Corner Flemington Rd & Grattan St, Parkville, Vic 3052, Australia
[5] King Edward Mem Hosp, 374 Bagot Rd, Subiaco, WA 6008, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
Pregnancy; Positioning; Preeclampsia; Blood pressure; Prone; HYPERTENSION; COMFORT;
D O I
10.1186/s12884-018-2073-x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
BackgroundThe prone position is rarely used in medical settings in pregnancy. There is no published information about the prone position in women with preeclampsia. This study examined the feasibility and acceptability of the prone position in pregnant women, and the short-term effect of the prone position on blood pressure (BP) in term healthy pregnant women and in women with preeclampsia.MethodsAfter ethics approval, written consent and trial registration (ACTRN:12615000160538 registered 18/02/2015, date of first participant enrolled 03/03/2015), 50 healthy term pregnant women and 15 women with preeclampsia had BP, heart rate (HR), oxygen saturation (SpO2), respiratory rate (RR), fetal heart rate (FHR) and comfort levels measured in two positions: left lateral, and prone. Measurements were after five minutes rest in each position.ResultsMeanSD age, gestation and body mass index for healthy pregnant women was 334.1years, 38 +/- 1.0weeks and 27 +/- 3.2kg.m(-2) and for women with preeclampsia was 32 +/- 4.7years, 36 +/- 3.4weeks, 31 +/- 5.6kg.m(-2) respectively. No clinically significant changes occurred in healthy pregnant women in the prone position. Systolic BP was reduced in the prone position in women with preeclampsia (P=0.019, mean difference-6.6mmHg, 95% confidence interval-11.9 to -1.3mmHg). 33% of women with preeclampsia experienced a 10mmHg or greater reduction in systolic BP in the prone position. 42% of healthy pregnant women and 47% of women with preeclampsia preferred the prone position to lateral.Conclusions This is the first study to examine the prone position in women with preeclampsia. For short periods of time the prone position is feasible and comfortable in pregnant women including those at term. The prone position may reduce systolic BP in women with preeclampsia without obvious adverse effects. Larger studies with women lying for longer periods in the prone position are required. Pregnancy should not be a contraindication to the prone position for short periods of time.Trial registrationACTRN:12615000160538
引用
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页数:10
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