Effects of maternal prone position on the umbilical arterial flow

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Abstract

Objective.

The objective of our study was to clarify the effect of the maternal prone position on the feto-placental flow. In this position, the uterine compression of the large maternal vessels was expected to be completely eliminated.

Methods.

Twenty-three normal pregnant women were cross-sectionally examined in the supine, the left lateral, the right lateral and the prone position. The systolic/diastolic ratios for the umbilical artery were calculated for each position.

Results.

The umbilical arterial systolic/diastolic ratio in the prone position significantly decreased compared with that in the supine position. The left and right lateral position showed no significant change in the systolic/diastolic ratio.

Conclusion.

The maternal prone position can provide complete relief of uterine compression of the large maternal vessels.

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