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Is yoga style crossed leg sitting position best for neuraxial analgesia and/or anaesthesia for delivery?

Year 2020, Volume: 11 Issue: 3, 212 - 213, 22.06.2020
https://doi.org/10.18663/tjcl.744965

Abstract

The patient's position including standard traditional sitting position (TSP) or lateral position during insertion of the epidural catheter plays a major role in the success of labour epidural analgesia. Recently, crossed-legged sitting position (CLSP) has been recommended as an alternative for the administration of regional analgesia for labour. The authors compared the cross-legged sitting position (CLSP) with traditional sitting position (TSP) in performing epidural analgesia for labor to elucidate which is an easier option for placing an epidural catheter. The rate of successful epidural insertion at the first attempt was higher in CLSP group than that of TSP group. The landmark, needle-bone contact and comfort during positioning were comparable between the groups. In an earlier study, maternal and neonatal effects of either TSP or lateral decubitus position to perform combined spinal epidural (CSE) anaesthesia in otherwise healthy parturients underwent elective caesarean section (CS) were investigated. Rate of performing CSE at the 1st attempt was higher in the TSP than that of lateral decubitus position. Incidence of paresthesia due to Whitacre spinal needle used for CSE was less in the TSP than that of lateral decubitus. Thus, choice of CLSP over TSP for epidural block during labor analgesia and TSP over lateral decubitus for CSE for CS seem to be better in terms of ease of insertion. In a study including 60 pregnant women with lumbopelvic pain practicing yoga in CLSP had lower pain compared to standard posture exercise. Yet to our knowledge, there is no study that primarily compares the three positions (TSP, CLSP or lateral decubitus) altogether to demonstrate the ease of insertion of epidural catheter for vaginal and caesarean delivery to provide analgesia and/or anesthesia. If CLSP could have been one of the competitors of the two studies, we would be able to suggest one position over another without any hesitation. 

References

  • 1. Xu Z, Yao X, Zhang Y, Chen X, Zhou X, Shen F et al. Efficacy of different positions for neuraxial anesthesia in caesarean section: A meta-analysis. Int J Clin Exp Med 2016; 9: 20255–67.
  • 2. Tan ED, Gunaydın B. Comparison of maternal and neonatal effects of combined spinal epidural anaesthesia in either the sitting or lateral position during elective cesarean section. Turk J Anaesth Reanim 2014; 42:23–32
  • 3. Kharge ND, Mali A, Gujjar P. Comparison of haemodynamic effects of lateral and sitting positions during induction of spinal anaesthesia for elective caesarean section. Int J Res Med Sci 2017; 5: 851–56.
  • 4. Puthenveettil N, Sandhya S, Joseph N, Nair S, Paul J. Comparison of cross-legged sitting position with the traditional sitting position for the ease of insertion of an epidural catheter in parturient for providing labour analgesia: A randomised control trial. Ind J Anaesth 2020; 64:199-203
  • 5. Martins RF, Silva JLP. Treatment of pregnancy-related lumbar and pelvic girdle pain by the yoga method: A randomized controlled study. J Alternative Complement Med 2014; 20: 24-31.

Yoga tarzı bağdaş oturuşu, nöraksiyal analjezi ve / veya doğum anestezi için en iyi pozisyon mudur?

Year 2020, Volume: 11 Issue: 3, 212 - 213, 22.06.2020
https://doi.org/10.18663/tjcl.744965

Abstract

Hastaların oturma pozisyonları doğum analjezisi sırasında yerleştirilen epiduralin başarısında önemli bir rol oynar. Son zamanlarda, doğum için nöraksiyel analjezi uygulanması sırasında geleneksel oturma pozisyonuna alternatif olarak bağdaş oturuşu önerilmiştir. Yazarlar, doğum analjezisi sırasında epidural kateter yerleştirmek için daha kolay bir seçenek olan bağdaş oturuşu    ve geleneksel oturma pozisyonunu karşılaştırmışlardır. İlk denemede başarılı epidural yerleştirme oranı bağdaş grubunda geleneksel oturuş grubuna göre daha yüksekti. İşaret noktası, iğne-kemik teması ve yerleştirme sırasındaki konfor gruplar arasında benzerdi. Yapılan başka bir çalışmada elektif sezaryenlerde kombine spinal epidural (KSE) için geleneksel oturma pozisyonu veya lateral dekübitus pozisyonunun maternal ve neonatal etkileri araştırılmıştır. İlk denemede KSE  gerçekleştirme oranı geleneksel oturma pozisyonunda, lateral dekübit pozisyonuna göre daha yüksekti. KSE için kullanılan Whitacre spinal iğneye bağlı parestezi insidansı  geleneksel oturma pozisyonunda lateral dekübitustan daha azdı.Bu nedenle doğum analjezi sırasında epidural blok için geleneksel oturma pozisyonu yerine bağdaşın, sezaryenlerde ise KSE için geleneksel oturma pozisyonunun lateral dekübite göre daha iyi olduğu görülmektedir. Bağdaş pozisyonunda yoga yapan lumbopelvik ağrılı 60 gebe kadını içeren çalışmada standart duruş egzersizi yapan gruba göre daha az ağrı gösterilmiştir. Ancak bildiğimiz kadarıyla, analjezi ve / veya anestezi sağlamak için vajinal ve sezaryen doğum için epidural kateterin yerleştirilme kolaylığını göstermek için öncelikle üç pozisyonu (geleneksel oturma pozisyonu, bağdaş ve lateral dekübit) karşılaştıran bir çalışma yoktur. Eğer bağdaş her iki çalışmanın rakiplerinden biri olsaydı, tereddüt etmeden bu pozisyonu önerebiliriz. 

References

  • 1. Xu Z, Yao X, Zhang Y, Chen X, Zhou X, Shen F et al. Efficacy of different positions for neuraxial anesthesia in caesarean section: A meta-analysis. Int J Clin Exp Med 2016; 9: 20255–67.
  • 2. Tan ED, Gunaydın B. Comparison of maternal and neonatal effects of combined spinal epidural anaesthesia in either the sitting or lateral position during elective cesarean section. Turk J Anaesth Reanim 2014; 42:23–32
  • 3. Kharge ND, Mali A, Gujjar P. Comparison of haemodynamic effects of lateral and sitting positions during induction of spinal anaesthesia for elective caesarean section. Int J Res Med Sci 2017; 5: 851–56.
  • 4. Puthenveettil N, Sandhya S, Joseph N, Nair S, Paul J. Comparison of cross-legged sitting position with the traditional sitting position for the ease of insertion of an epidural catheter in parturient for providing labour analgesia: A randomised control trial. Ind J Anaesth 2020; 64:199-203
  • 5. Martins RF, Silva JLP. Treatment of pregnancy-related lumbar and pelvic girdle pain by the yoga method: A randomized controlled study. J Alternative Complement Med 2014; 20: 24-31.
There are 5 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Letter to Editor
Authors

Berrin Günaydın 0000-0002-0422-5536

Naciye Turk Ozterlemez 0000-0002-7030-5411

Gözde İnan 0000-0003-0989-1914

Selin Erel 0000-0002-6040-9815

Publication Date June 22, 2020
Published in Issue Year 2020 Volume: 11 Issue: 3

Cite

APA Günaydın, B., Turk Ozterlemez, N., İnan, G., Erel, S. (2020). Is yoga style crossed leg sitting position best for neuraxial analgesia and/or anaesthesia for delivery?. Turkish Journal of Clinics and Laboratory, 11(3), 212-213. https://doi.org/10.18663/tjcl.744965
AMA Günaydın B, Turk Ozterlemez N, İnan G, Erel S. Is yoga style crossed leg sitting position best for neuraxial analgesia and/or anaesthesia for delivery?. TJCL. June 2020;11(3):212-213. doi:10.18663/tjcl.744965
Chicago Günaydın, Berrin, Naciye Turk Ozterlemez, Gözde İnan, and Selin Erel. “Is Yoga Style Crossed Leg Sitting Position Best for Neuraxial Analgesia and/Or Anaesthesia for Delivery?”. Turkish Journal of Clinics and Laboratory 11, no. 3 (June 2020): 212-13. https://doi.org/10.18663/tjcl.744965.
EndNote Günaydın B, Turk Ozterlemez N, İnan G, Erel S (June 1, 2020) Is yoga style crossed leg sitting position best for neuraxial analgesia and/or anaesthesia for delivery?. Turkish Journal of Clinics and Laboratory 11 3 212–213.
IEEE B. Günaydın, N. Turk Ozterlemez, G. İnan, and S. Erel, “Is yoga style crossed leg sitting position best for neuraxial analgesia and/or anaesthesia for delivery?”, TJCL, vol. 11, no. 3, pp. 212–213, 2020, doi: 10.18663/tjcl.744965.
ISNAD Günaydın, Berrin et al. “Is Yoga Style Crossed Leg Sitting Position Best for Neuraxial Analgesia and/Or Anaesthesia for Delivery?”. Turkish Journal of Clinics and Laboratory 11/3 (June 2020), 212-213. https://doi.org/10.18663/tjcl.744965.
JAMA Günaydın B, Turk Ozterlemez N, İnan G, Erel S. Is yoga style crossed leg sitting position best for neuraxial analgesia and/or anaesthesia for delivery?. TJCL. 2020;11:212–213.
MLA Günaydın, Berrin et al. “Is Yoga Style Crossed Leg Sitting Position Best for Neuraxial Analgesia and/Or Anaesthesia for Delivery?”. Turkish Journal of Clinics and Laboratory, vol. 11, no. 3, 2020, pp. 212-3, doi:10.18663/tjcl.744965.
Vancouver Günaydın B, Turk Ozterlemez N, İnan G, Erel S. Is yoga style crossed leg sitting position best for neuraxial analgesia and/or anaesthesia for delivery?. TJCL. 2020;11(3):212-3.


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