You’ll read some really scary myths common myths such as your baby’s oxygen supply will be cut off if you lie down on your back. Supine hypotension syndrome in pregnancy can be especially deleterious in the usual setting of increased cardiac demand in pregnancy. Cardiac index in term pregnant women in the sitting, lateral, and supine positions: an observational, crossover study. The aim of this narrative review is to detail the pathophysiological changes affecting the respiratory, cardiovascular, endocrine, immune, inflammatory and stress response systems in pregnancy specific to maternal sleep disorders and supine sleep position and explore some of the possible pathways that influence pregnancy complications. Baraka et al. Lying down creates several sleeping conditions. Sleep positions through the night were categorised as: left lateral (left side) right lateral (right side) supine (back) A continuous foetal echocardiogram (ECG) was used to record maternal and foetal heart rate. 2014 Apr;175:112-4. When a pregnant patient is tilted the efficiency of compressions is reduced further but the detrimental effect of aortocaval compression is greater than that of left tilt. Stone PR, Burgess W, McIntyre JP, Gunn AJ, Lear CA, Bennet L, et al. The ‘supine hypotension syndrome’ usually occurs in the last trimester of pregnancy, though it can also happen earlier in pregnancy or during post-partum. Women are told to sleep on their left side during pregnancy because it may help preserve blood flow ... don't hesitate to recommend that pregnant women avoid sleeping in the supine position. Effect of maternal position on fetal behavioural state and heart rate variability in healthy late gestation pregnancy. Of normovolemic pregnant patients, only 8% to 10% display supine hypotension syndrome in pregnancy due to adequate physiologic compensation; however, when faced with blood or other fluid losses such as in trauma or critical illness, supine hypotension of … The effect of maternal supine position on umbilical and cerebral blood flow indices. may not be able to lie in the lateral recumbent position on their right side. The position … • The pregnant pt. ); • The pregnant pt. Farag et. Going-to-sleep on left or right side appears equally safe. Supine Hypotensive Syndrome: Myths vs Facts. This study examined the feasibility and acceptability of the prone position in pregnant women, and the short-term effect of the prone position on blood pressure (BP) in term healthy pregnant women and in women with preeclampsia. • Treat the pt. Contraindications All pregnant women can participate in physical activity throughout pregnancy with the exception of those who have contraindications (listed below). During late pregnancy, the gravid uterus compresses the inferior vena cava (IVC) when a woman lies in the supine position. Aortocaval compression syndrome is compression of the abdominal aorta and inferior vena cava by the gravid uterus when a pregnant woman lies on her back, i.e. Maternal cardiovascular compromise and fetal stress in the supine position and their relief in the full lateral position are well recognised [1-3].The systematic use of lateral table or pelvic tilt to reduce supine aortocaval compression during Caesarean section (CS) developed in the 1970s, and is now ingrained in obstetric anaesthetic practice. 2014). output (3) in non-pregnant patients in the supine position. Women are most familiar with the supine position (lying on their backs), regardless of their ethnic background, which emphasises the importance of women learning about different positions during pregnancy and labour in order to increase their range of choices. in the position … The supine sleep position in late pregnancy is a major risk factor for stillbirth, with a population attributable risk of 5.8% and one in four pregnant women reportedly sleeping in a supine position. Prone position, particularly in later pregnancy, often aggravates the causes of many women’s back discomfort. al., The Effect of Changing Maternal Position from Left Lateral to Supine Position on Umbilical and Fetal Cerebral Blood Flow Indices Abstract To investigate whether changing maternal position from left lateral to supine position in pregnant women between 36 and 40 weeks gestation, can affect umbilical and cerebral blood may not be able to lie prone comfortably. This IPD meta-analysis confirms that supine going-to-sleep position is independently associated with late stillbirth. Position changes were counted as positions that were assumed for longer than three minutes. New research shows that women can halve their risk of stillbirth by going to sleep on their side from 28 weeks pregnancy compared with sleeping in the supine position. No significant interactions with our assessed indicators of fetal vulnerability were identified, therefore, supine going-to-sleep position can be considered a contributing factor for late stillbirth in all pregnancies. The prone position is rarely used in medical settings in pregnancy. During late pregnancy, the gravid uterus compresses the inferior vena cava (IVC) when a woman lies in the supine position. 2(1992) reported about “Preoxygenation of Pregnant and Nonpregnant Women in the Head-up versus Supine Position.” The results showed that after 3 min of preoxygenation, desaturation to 95% during subsequent apnea, as monitored by pulse oximetry, was more rapid in pregnant than in nonpregnant patients. During late pregnancy, the gravid uterus compresses the inferior vena cava (IVC) when a woman lies in the supine position. (For the first trimester there are no risks with continuing your exercise as normal). Introduction: Recent studies have demonstrated an association between maternal supine sleep position and an increased risk of late stillbirth. At the time of pregnancy, you can have some sorts of problem with sleeping supine position. Journal of Clinical Medicine Article Sleep in the Supine Position During Pregnancy is Associated with Fetal Cerebral Redistribution Nicole Robertson 1,2,3, Satomi Okano 1,4 and Sailesh Kumar 1,2,3,* 1 Mater Research Institute—University of Queensland, Level 3 Aubigny Place, Raymond Terrace, South Brisbane QLD 4101, Queensland, Australia; n.t.brown@uqconnect.edu.au (N.R. Pregnant women who experience light-headedness, nausea or feel unwell when they exercise flat on their back should modify their exercise position to avoid the supine position. Rule out any red flags. Pregnancy modification: Second Position Plié To make knees more stable, stand in second position (toes still turned out but feet approximately 3 feet apart) instead of a narrow first position with heels together. One of the largest fields of study concerning the supine position is its relationship to pregnancy. Pillows or specialized equipment that is marketed for pregnant clients can mitigate these problems, but neither pillow props, body cushions, pregnancy pillows, most on-site massage chairs, nor tables with cut-out ovals completely solve the problematic aspects of prone positioning. However, in a smaller study than ours, it has been suggested that the supine position in late pregnancy was associated with changes to the fetal middle cerebral arterial and umbilical arterial Doppler pulsatility indices, suggesting a fetal response to the physiological stress of position change (Khatib et al. Introduction: Recent studies have demonstrated an association between maternal supine sleep position and an increased risk of late stillbirth. The azygos system of veins is the dominant pathway of collateral venous return back to the heart in the event of acute obstruction of the IVC. Pregnant Patient • H&P first. drsaraharmstrong@gmail.com Sleeping position can affect your comfort. 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