2009•Practical Journal of Clinical MedicineRequires access

Two postures of cesarean delivery under combined spinal and epidural anesthesia and its effects on common postoperative complications and breastfeeding

Huang Qing

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Abstract

Objective To Compare the different effects on common postoperative complications and breastfeeding between two postures that supine position without pillow for 6 hours and lateral tilt after supine position with low pillow for 2 hours after cesarean delivery(CD) with combined spinal and epidural anesthesia(CSE).Methods 100 patients without pregnant complications and incorporative diseases received CD with CSE were randomized into two groups as experimental group was supine position without pillow while the control group was supine position with low pillow.Compare the incidences of headache;nausea and vomiting as well as the breasting situation between the two groups.Results There was no significant differences in the incidences of headache;nausea and vomiting between two groups(P 0.05).Breastfeeding situation in experimental group was better than control group(The cases with breastfeeding times≥8/24hs in experimental group were 41while 18 in control group) and there was significant difference between the two groups.Conclusions The posture of lateral tilt after supine position with low pillow for 2 hours would not cause postoperative complications,but improve comfort and benefit breastfeeding in patients after CD with CSE.

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Objective To Compare the different effects on common postoperative complications and breastfeeding between two postures that supine position without pillow for 6 hours and lateral tilt after supine position with low pillow for 2 hours after cesarean delivery(CD) with combined spinal and epidural anesthesia(CSE).Methods 100 patients without pregnant complications and incorporative diseases received CD with CSE were randomized into two groups as experimental group was supine position without pillow while the control group was supine position with low pillow.Compare the incidences of headache;nausea and vomiting as well as the breasting situation between the two groups.Results There was no significant differences in the incidences of headache;nausea and vomiting between two groups(P 0.05).Breastfeeding situation in experimental group was better than control group(The cases with breastfeeding times≥8/24hs in experimental group were 41while 18 in control group) and there was significant difference between the two groups.Conclusions The posture of lateral tilt after supine position with low pillow for 2 hours would not cause postoperative complications,but improve comfort and benefit breastfeeding in patients after CD with CSE.

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Available abstract

Objective To Compare the different effects on common postoperative complications and breastfeeding between two postures that supine position without pillow for 6 hours and lateral tilt after supine position with low pillow for 2 hours after cesarean delivery(CD) with combined spinal and epidural anesthesia(CSE).Methods 100 patients without pregnant complications and incorporative diseases received CD with CSE were randomized into two groups as experimental group was supine position without pillow while the control group was supine position with low pillow.Compare the incidences of headache;nausea and vomiting as well as the breasting situation between the two groups.Results There was no significant differences in the incidences of headache;nausea and vomiting between two groups(P 0.05).Breastfeeding situation in experimental group was better than control group(The cases with breastfeeding times≥8/24hs in experimental group were 41while 18 in control group) and there was significant difference between the two groups.Conclusions The posture of lateral tilt after supine position with low pillow for 2 hours would not cause postoperative complications,but improve comfort and benefit breastfeeding in patients after CD with CSE.

Key concepts: Medicine, Supine position, Anesthesia, Nausea, Breastfeeding, Vomiting, Sitting, Surgery

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