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Tilt-Bend Cesarean Section

From the Departments of Obstetrics and Gynecology and Anesthesiology at Methodist Hospital of Brooklyn, Brooklyn, New York.

Alternate women undergoing cesarean section were placed in a position which combined a 10° left side downtilt with a 10° elevation of the legs from the hips. This "tilt-bend" position was compared with the horizontal supine or "no-tilt" position by analysis of umbilical cord blood samples and by clinical evaluation of the infants at birth. There was a markedly improved oxygenation of the newborn when the tilt-bend position was used for mothers under spinal anesthesia, but the benefit from this position was less evident under general anesthesia. The 10° elevation of the legs in the tilt-bend position did not prevent the development of maternal hypotension under spinal anesthesia.

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				J. H. Bamber and M. Dresner Aortocaval Compression in Pregnancy: The Effect of Changing the Degree and Direction of Lateral Tilt on Maternal Cardiac Output Anesth. Analg., July 1, 2003; 97(1): 256 - 258. [Abstract] [Full Text] [PDF]