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WITHDRAWN: Lateral tilt for caesarean section.

C Wilkinson, M W Enkin

    The Cochrane Database of Systematic Reviews
    |July 20, 2007
    PubMed
    Summary
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    Lateral tilt during cesarean delivery may improve fetal outcomes like Apgar scores and oxygenation. However, current evidence is limited, requiring more research on this maternal positioning technique.

    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Surgical Procedures

    Background:

    • Supine positioning in late-term pregnancy can cause aortocaval compression, impairing maternal venous return.
    • This compression may lead to maternal hypotension, reduced placental blood flow, and decreased fetal oxygenation.

    Purpose of the Study:

    • To evaluate the impact of maternal lateral tilt during cesarean section on fetal and neonatal well-being.
    • Comparison of lateral tilt versus supine positioning during cesarean delivery.

    Main Methods:

    • Systematic review of randomized or quasi-randomized controlled trials.
    • Inclusion of trials comparing 10-15 degree lateral tilt with supine position during cesarean section.
    • Data extraction and quality assessment performed by a single reviewer.

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    Main Results:

    • Three trials with 293 participants were analyzed, all of methodologically low quality.
    • Fewer instances of low Apgar scores were observed with the use of lateral tilt.
    • Neonatal pH and oxygen saturation levels appeared to be improved with lateral tilt positioning.

    Conclusions:

    • The existing evidence from reviewed trials is insufficient to definitively assess the benefits of lateral tilt during cesarean section.
    • Further high-quality research is needed to establish the efficacy and safety of this intervention.