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Use of the prone position in pregnant women with COVID-19 or other health conditions.
Cavalcante, Francisco Marcelo Leandro; Fernandes, Cristina da Silva; Rocha, Luanna Dos Santos; Galindo-Neto, Nelson Miguel; Caetano, Joselany Áfio; Barros, Lívia Moreira.
  • Cavalcante FML; Universidade Estadual Vale do Acaraú, Centro de Ciências da Saúde, Sobral, CE, Brazil.
  • Fernandes CDS; Scholarship holder at the Fundação Cearense de Apoio ao Desenvolvimento Científico e Tecnológico (FUNCAP), Brazil.
  • Rocha LDS; Universidade Federal do Ceará, Departamento de Enfermagem, Fortaleza, CE, Brazil.
  • Galindo-Neto NM; Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.
  • Caetano JÁ; Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco, Campus Pesqueira, Pesqueira, PE, Brazil.
  • Barros LM; Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco, Campus Pesqueira, Pesqueira, PE, Brazil.
Rev Lat Am Enfermagem ; 29: e3494, 2021.
Article in English, Spanish, Portuguese | MEDLINE | ID: covidwho-2054554
ABSTRACT

OBJECTIVE:

to analyze, in the scientific literature, the knowledge available on the use of the prone position in pregnant women diagnosed with COVID-19 or other health conditions.

METHOD:

an integrative literature review developed through the following guiding question What is the scientific knowledge available on the use of the prone position in pregnant women with COVID-19 or other health conditions? The search for studies was carried out in eight databases.

RESULTS:

using the prone position in pregnant women with Acute Respiratory Distress syndrome allowed for improvements in lung compliance and oxygenation. It also allowed reducing uterine compression on the maternal large vessels, and a reduction in blood pressure was observed in pregnant women with pre-eclampsia. The prone position was also safe in the surgical management of pregnant patients. In addition, the following conditions stood out as disadvantages related to the prone position in pregnant women possibility of aortocaval compression, causing severe hypotension, and inability to easily monitor fetal status or to perform emergency Cesarean sections.

CONCLUSION:

the prone position was considered safe, reliable and comfortable for its use in the clinical management of pregnant women, where specific care measures must be taken to avoid compression of gravid abdomen, as well as fetal monitoring is important to detect placental circulation impairment.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prognostic study / Reviews Limits: Female / Humans / Pregnancy Language: English / Spanish / Portuguese Journal: Rev Lat Am Enfermagem Journal subject: Nursing Year: 2021 Document Type: Article Affiliation country: 1518-8345.5181.3494

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prognostic study / Reviews Limits: Female / Humans / Pregnancy Language: English / Spanish / Portuguese Journal: Rev Lat Am Enfermagem Journal subject: Nursing Year: 2021 Document Type: Article Affiliation country: 1518-8345.5181.3494