Maternal positioning affects fetal heart rate changes after epidural analgesia for labour

@article{Preston1993MaternalPA,
  title={Maternal positioning affects fetal heart rate changes after epidural analgesia for labour},
  author={Roanne Preston and Edward T. Crosby and D Kotarba and Helene Dudas and Robert Dale Elliott},
  journal={Canadian Journal of Anaesthesia},
  year={1993},
  volume={40},
  pages={1136-1141}
}
Adverse fetal heart rate (FHR) changes suggestive of fetal hypoxia are seen in patients with normal term pregnancies after initiation of epidural block for labour analgesia. It was our hypothesis that, in some parturients, these changes were a consequence of concealed aortocaval compression resulting in decreased uterine blood flow. We expected that the full lateral position compared with the wedged supine position would provide more effective prophylaxis against aortocaval compression. To test… CONTINUE READING

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