Trendelenburg position vs. shock position?
I haven't been able to find a picture or description to help me differentiate between the two. What is the difference within patient positioning?
Also, I understand that the Trendelenburg is often used surrounded by obstetric emergencies. Why is this so? Maybe the answer to the first question will make this clear, but if, please explain, if you could.
Answers:
Trendelenburg position means that the head of the bed is DOWN. In an obstetric emergency such as cord prolapse, where the umbillical cord is coming out and the babe-in-arms above is putting pressure down on the cord, causing fetal distress, you can see how being in tredelenburg will shift the solidity, allowing pressure to be taken off. Also with macrosomic babies, where near is shoulder dystocia (another emergency), and McRoberts maneuver is being used, the mother's head should be lowered.
I should add that shock position requires the forgiving to be flat on their back with legs elevated 8-12 inches. A woman who is pregnant will be putting the weight of the tot and the uterus on her vena cava, decreasing blood flow back to her heart and may cause maternal hypotention.
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Also, I understand that the Trendelenburg is often used surrounded by obstetric emergencies. Why is this so? Maybe the answer to the first question will make this clear, but if, please explain, if you could.
Answers:
Trendelenburg position means that the head of the bed is DOWN. In an obstetric emergency such as cord prolapse, where the umbillical cord is coming out and the babe-in-arms above is putting pressure down on the cord, causing fetal distress, you can see how being in tredelenburg will shift the solidity, allowing pressure to be taken off. Also with macrosomic babies, where near is shoulder dystocia (another emergency), and McRoberts maneuver is being used, the mother's head should be lowered.
I should add that shock position requires the forgiving to be flat on their back with legs elevated 8-12 inches. A woman who is pregnant will be putting the weight of the tot and the uterus on her vena cava, decreasing blood flow back to her heart and may cause maternal hypotention.
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