The supine hypotensive syndrome of pregnant women (SHSPW) diagnosis, therapy and prevention of complications in pregnant women (Review)

Abstract

DOI: 10.52705/2788-6190-2023-01-01

Drug-free therapy for prevention and treatment of supine hypotensive syndrome of pregnant women (SHSPW) is based on the application of the position of the pregnant woman on her back, partially modified by us: the patient is on her back, the table top is
turned 15-20° to the left, only the head end of the operating table is raised by 40-45°, lower extremities in the knee joints are bent by 10-20° and up to 120° in the hip joints due to placing a roller in the popliteal area.
This position of a pregnant woman is more natural for them, aimed at reducing the tension of the anterior abdominal wall, thus the uterus is slightly shifted forward and to the left, which contributes to the reduction of intra-abdominal pressure and pressure of the
pregnant uterus on the terminal part of the aorta and iliac arteries and/or the distal part of the inferior vena cava and common iliac veins.
And in addition, this position of the pregnant woman provides satisfactory access for the surgeon to the inguinal areas (external inguinal rings, both on the right and on the left), the perineum and along the entire length of the lower extremities for surgical interventions.
In the literature, there are data on the effectiveness of the application of so-called «therapeutic maneuver» for the prevention and treatment of SHSPW in surgical practice.