Use of the prone position in pregnant women with COVID-19 or other health conditions

Authors

  • Francisco Marcelo Leandro Cavalcante Universidade Estadual Vale do Acaraú, Centro de Ciências da Saúde, Sobral, CE, Brasil. Bolsista da Fundação Cearense de Apoio ao Desenvolvimento Científico e Tecnológico (FUNCAP), Brasil. http://orcid.org/0000-0001-6143-1558
  • Cristina da Silva Fernandes Universidade Federal do Ceará, Departamento de Enfermagem, Fortaleza, CE, Brasil. Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil. http://orcid.org/0000-0002-4514-3107
  • q Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco, Campus Pesqueira, Pesqueira, PE, Brasil. http://orcid.org/0000-0002-1013-5609
  • Nelson Miguel Galindo-Neto Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco, Campus Pesqueira, Pesqueira, PE, Brasil. http://orcid.org/0000-0002-7003-165X
  • Joselany Áfio Caetano Universidade Federal do Ceará, Departamento de Enfermagem, Fortaleza, CE, Brasil. Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil. http://orcid.org/0000-0002-0807-056X
  • Lívia Moreira Barros Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Curso de Enfermagem, Redenção, CE, Brasil. http://orcid.org/0000-0002-9763-280X

DOI:

https://doi.org/10.1590/1518-8345.5181.3494

Keywords:

Pregnant Women, Pregnancy, Coronavirus Infections, Adult Respiratory Distress Syndrome, Prone Position, Nursing

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.

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Published

2021-11-08

Issue

Section

Review Articles

How to Cite

Use of the prone position in pregnant women with COVID-19 or other health conditions. (2021). Revista Latino-Americana De Enfermagem, 29, e3494. https://doi.org/10.1590/1518-8345.5181.3494