Abstract
(Anesthesiology. 2017;127(2):212–214) Reported in up to 95% of healthy women, maternal hypotension is very common after spinal anesthesia during cesarean delivery when no prophylactic therapy is used. Both mechanical prophylaxis (tilting or wedging) and pharmacologic prophylaxis are recommended to prevent hypotension following a neuraxial anesthetic. Left uterine displacement, using either a pelvic wedge or lateral table adjustment, is widely used during cesarean delivery under spinal anesthesia to prevent hypotension related to aortocaval compression.
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