+ Site Statistics
+ Resolve Accession
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
Submit PDF Full TextSubmit PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Lack of benefits of left tilt in emergent cesarean sections: a randomized study of cardiotocography, cord acid-base status and other parameters of the mother and the fetus

, : Lack of benefits of left tilt in emergent cesarean sections: a randomized study of cardiotocography, cord acid-base status and other parameters of the mother and the fetus. Journal of Perinatal Medicine 26(4): 284-292

Objective: To assess the benefits of performing the cesarean section in lateral tilt during active labor. Setting: University Hospital. Patients: 204 unselected women undergoing cesarean section (21.1% fetal distress, 45.6% cephalo-pelvic disproportion, 26.0% induction failure, 7.4% abnormal presentation) under general (86.8%) or spinal anesthesia (13.2%). Design: Randomized study Intervention: During anesthesia induction and cesarean section 103 women were in partial left lateralization (20degree), whereas the remaining 101 remained in the supine position. Main outcome measures: Internal cardiotocography during cesarean section. Umbilical artery acid-base analysis. Newborn evaluation. Maternal hemodynamic parameters. Results: Fetal heart rate during cesarean section was similar in both groups, except for a baseline heart rate which was slightly higher in the lateral tilt group (137.5 +- 19.2 vs 131.1 +- 20). The umbilical artery pH values, as well as pCO2, base deficit, CO3H and oxygen saturation were similar in both groups. The pO2 value was significantly lower in the lateral tilt group (14.03 +- 6.04 Hg mm vs 16.02 +- 7.65). Newborn evaluation was similar in both groups. The blood pressure and heart rate of the mother during the cesarean section were also similar in both groups. Conclusion: No benefits were found in performing cesarean section in left lateral tilt.

(PDF same-day service: $19.90)

Order PDF Full Text


Click here to order any other PDF Full Text

Accession: 010906353

PMID: 9846303

DOI: 10.1515/jpme.1998.26.4.284

PDF Full Text: Submit

Submit PDF Full Text

No spam - Every submission is manually reviewed

Due to poor quality, we do not accept files from Researchgate

Submitted PDF Full Texts will always be free for everyone
(We only charge for PDFs that we need to acquire)

Select a PDF file:

Other references

Barnes, RSK., 1988: Influence of the presence of congeneric species on the behavioural presence of Hydrobia species. NATO ASI (Advanced Science Institutes) Series Series A Life Sciences, 255-263 No. 151

Derjavin, A., 1929: Arctic elements in the fauna of Peracarids of the Sea of Japan. Russische Hydrobiologische Zeitschrift Saratov, 8: 326-329

Dong, Xin; Zhang, Zeming; He, Zhenyu; Liu, Feng; Wang, Wei; Yu, Fei; Lin, Yanhao; Jiang, Hongying, 2012: Mesozoic to Cenozoic high-grade metamorphisms from the south Lhasa Terrane and their constraints on the Himalayan Orogeny. The middle to high-grade metamorphic rocks of the southeastern segment of Lhasa terrane were considered traditionally as the Precambrian metamorphic basement of the Lhasa terrane. However, our systematical studies of petrology and geochronology de...

Freyer, W., 1987: Tourism in the Third World. During the 1960s the opening up of developing countries for tourists and the construction of their own tourism sectors was viewed as a very simple and quick way to development. Later, however, increasing scepticism occurred. The euphoric phase has...

Mikkola, T.; Ranta, V.; Orpana, A.; Viinikka, L.; Ylikorkala, O., 1996: Hormone replacement therapy modifies the capacity of plasma and serum to regulate prostacyclin and endothelin-1 production in human vascular endothelial cells. Objective: To determine if hormone replacement therapy (HRT) modifies the ability of plasma or serum to regulate the synthesis of vasodilatory prostacyclin and that of vasoconstrictive endothelin-1 by cultured human umbilical vein endothelial cell...

Mareel, M. M.; Vakaet, L. C., 1977: Wound healing in the primitive deep layer of the young chicks blastoderm. Wound healing in the primitive deep layer of stage 4 chick blastoderms was studied in vitro by cinemicrophotography of living cultures and by photomicroscopy, scanning and transmission electron microscopy after fixation. Experimental wounds with a...

Morton D.W.; Chiel H.J., 1991: Two patterns of buccal nerve activity that distinguish ingestion from rejection can be replicated in a reduced preparation in aplysia. Society for Neuroscience Abstracts 17(1-2): 1593

Pearson, J. K. L.; Ogg, J. S., 1967: Studies in Johne's Disease in Northern Ireland. Pt, VI: The application of control measures. Earlier measures of control included the use of serological tests on cattle imported from Gt. Britain, but on account of limited reliability of the c.f. test a ban on the importation of female cattle from Gt. Britain was imposed and has been in op...

Waldmeier, P.C.; Zimmermann, K.; Qian, T.; Tintelnot-Blomley, M.; Lemasters, J.J., 2003: Cyclophilin D as a drug target. The mitochondrial permeability transition (MPT) plays an important role in damage-induced cell death, and agents inhibiting the MPT may have a therapeutic potential for treating human conditions such as ischemia/reperfusion injury, trauma, and neu...

Sato, Takami, 1996: Active specific immunotherapy with hapten-modified autologous melanoma cell vaccine. We have developed a novel approach to cancer immunotherapy - an autologous whole-cell vaccine modified with the hapten dinitrophenyl (DNP). This approach elicits significant inflammatory responses in metastatic sites and some objective tumor respo...