期刊
CLINICS IN PERINATOLOGY
卷 46, 期 4, 页码 765-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.clp.2019.08.009
关键词
Uteroplacental perfusion; Neonatal acidemia; Peripartum hemodynamics; Maternal hypotension; Left uterine displacement; Aortocaval compression; Cesarean delivery
Maternal hemodynamics, positioning, and anesthesia technique for cesarean delivery influence neonatal acid-base balance; direct effects from drugs that cross the placenta also have an influence. Spinal anesthesia limits fetal exposure to depressant drugs and avoids maternal airway instrumentation, but is associated with hypotension. Hypotension may be prevented/treated with vasopressors and intravenous fluids. Current evidence supports phenylephrine as the first-line vasopressor. Fifteen degrees of lateral tilt during cesarean delivery has been advocated to relieve vena caval obstruction, but routine use may be unnecessary in healthy nonobese women having elective cesarean delivery if maternal blood pressure is maintained near baseline.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据