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The crossed-leg position increases the dimensions within the acoustic target window for neuraxial needle placement in term pregnancy: A prospective observational study

International Journal of Obstetric Anesthesia Sep 01, 2020

Sharma M, Qasem F, Sebbag I, et al. - Given that anatomical changes in pregnancy may make it difficult to achieve neuraxial anesthesia in obstetric patients, and crossed-leg position may assist in optimizing patient position, therefore, this prospective analysis was undertaken to assess the utility of the crossed-leg position vs a standard position using ultrasound measurements. Recruitment of 30 women with term singleton pregnancy admitted for vaginal delivery was done, excluding those with a history of spinal trauma or surgery, congenital spinal abnormality, advanced first stage of labor, or a language barrier. At the end of the study, there remained 29 women. As per findings, the crossed-leg position vs the standard position was associated with a statistically significant increase in the sonographically measured lengths of the posterior longitudinal ligament, ligamentum flavum and interlaminar distance. Both positions were comfortable.

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