Pregnant Women Positioning in Spinal Anesthesia for Cesarean Section: Integrative Review

  • Sarah Lima Pinto Universidade Regional do Cariri
  • Geórgia Alcântara Alencar Melo
  • Lívia Moreira Barros
  • Nelson Miguel Galindo Neto
  • Kenya Waleria de Siqueira Coêlho Lisboa
  • Emiliana Bezerra Gomes
  • Mirna Fontenele de Oliveira
  • Joselany Áfio Caetano

Abstract

Objective: to analyze the scientific evidence on the positioning of pregnant women in spinal anesthesia for cesarean section.


Method: an integrative review of the literature in the Scopus, CINAHL, LILACS and PubMed databases using the descriptors "patient positioning", "spinal anesthesia" and "obstetrics" and their synonyms "patient position" and "spinal anesthetics".


Results: the sample of 8 articles showed that the fastest onset of blockade in pregnant women occurs in the lateral horizontal decubitus position and in the sitting position with legs downwards. Lateral decubitus with elevated head presented insufficient blockade. Lateral position was related to greater comfort, and its maintenance for 15 minutes before the supine position, after infiltration with the anesthetic was associated with lower incidence of hypotension.


Conclusion: Scientific evidence has shown that positioning influences the effect, potentiation and delay of anesthesia, comfort and the pregnant woman's blood pressure, being relevant to the perioperative and obstetric multidisciplinary practice.

Author Biographies

Geórgia Alcântara Alencar Melo

PhD students in Nursing, Graduate Program in Nursing, Federal University of Ceará. Fortaleza, Ceará, Brazil.

Lívia Moreira Barros

PhD students in Nursing, Graduate Program in Nursing, Federal University of Ceará. Fortaleza, Ceará, Brazil.

Nelson Miguel Galindo Neto

PhD students in Nursing, Graduate Program in Nursing, Federal University of Ceará. Fortaleza, Ceará, Brazil.

Kenya Waleria de Siqueira Coêlho Lisboa

PhD students in Nursing, Graduate Program in Nursing, Federal University of Ceará. Fortaleza, Ceará, Brazil.

Emiliana Bezerra Gomes

PhD in Clinical Care in Nursing and Health from the State University of Ceará. Crato, Ceará, Brazil.

Mirna Fontenele de Oliveira

PhD in Nursing, Graduate Program in Nursing, Federal University of Ceará. Nurse from the Federal University of Cariri. Barbalha, Ceará, Brazil.

Joselany Áfio Caetano

PhD in Nursing. Professor of the Graduate Program in Nursing, Federal University of Ceará. Fortaleza, Ceará, Brazil.

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Published
2017-05-13
How to Cite
PINTO, Sarah Lima et al. Pregnant Women Positioning in Spinal Anesthesia for Cesarean Section: Integrative Review. International Archives of Medicine, [S.l.], v. 10, may 2017. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2583>. Date accessed: 25 july 2017. doi: https://doi.org/10.3823/2449.
Section
Nursing

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