NCT02872181

An Evaluation of Maternal Position During Cesarean Delivery

A Randomized Controlled Trial Evaluating Maternal Tilt During Cesarean Section

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 120 (estimated)
• Sponsor: Hartford Hospital · Academic / Other
• Sex: Female
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

During Cesarean Delivery pregnant women are frequently tilted to the left 15 degress to reduce compression of the major blood vessels by the uterus. Despite this common practice, there is no conclusive evidence to support this practice. In fact it may even be deleterious to have women positioned in this position. The aim of the study is to determine whether or not tilting women to the left during cesarean section (CS) is helpful or detrimental. The authors hypothesize that left uterine displacement of 15 degrees, which is commonly employed, is useless for preventing compression of these blood vessels. To investigate this question, women will be randomly assigned to either be tilted 15 degrees to the left during CS or positioned flat on the table. Fetal acid base status, vasopressor/phenylephrine use, patient satisfaction, maternal complications, and fetal complications will all be collected and compared.

Conditions

• Cesarean Section

Interventions

Type	Name	Description
PROCEDURE	Supine	Placed in Supine position
PROCEDURE	Left uterine displacement	Placed in 15 degrees left uterine displacement

Timeline

• Start date: 2016-04-01
• Primary completion: 2020-05-01
• Completion: 2020-05-01
• First posted: 2016-08-19
• Last updated: 2018-08-01

Locations

1 site across 1 country: United States