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Maternal posture-physiology interactions in human pregnancy: a narrative review.
Kember, Allan J; Anderson, Jennifer L; Gorazd, Natalyn E; House, Sarah C; Kerr, Katherine E; Torres Loza, Paula A; Reuter, David G; Hobson, Sebastian R; Goergen, Craig J.
Afiliación
  • Kember AJ; Temerty Faculty of Medicine, Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON, Canada.
  • Anderson JL; Shiphrah Biomedical Inc., Toronto, ON, Canada.
  • Gorazd NE; Larner College of Medicine, University of Vermont, Burlington, VT, United States.
  • House SC; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, United States.
  • Kerr KE; Temerty Faculty of Medicine, Medical Education, University of Toronto, Toronto, ON, Canada.
  • Torres Loza PA; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, United States.
  • Reuter DG; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, United States.
  • Hobson SR; Cardiac Innovations, Seattle Children's, Seattle, WA, United States.
  • Goergen CJ; Temerty Faculty of Medicine, Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON, Canada.
Front Physiol ; 15: 1370079, 2024.
Article en En | MEDLINE | ID: mdl-39100275
ABSTRACT
There are several well-known medical conditions in which posture and gravity interact with natural history, including pregnancy. In this review, we provide a comprehensive overview of interactions between maternal posture and maternal physiology and pathophysiology at rest during pregnancy. We conducted a systematic literature search of the MEDLINE database and identified 644 studies from 1991 through 2021, inclusive, that met our inclusion criteria. We present a narrative review of the resulting literature and highlight discrepancies, research gaps, and potential clinical implications. We organize the results by organ system and, commencing with the neurological system, proceed in our synthesis generally in the craniocaudal direction, concluding with the skin. The circulatory system warranted our greatest and closest consideration-literature concerning the dynamic interplay between physiology (heart rate, stroke volume, cardiac output, blood pressure, and systemic vascular resistance), pathophysiology (e.g., hypertension in pregnancy), and postural changes provide an intricate and fascinating example of the importance of the subject of this review. Other organ systems discussed include respiratory, renal, genitourinary, gastrointestinal, abdominal, and endocrine. In addition to summarizing the existing literature on maternal posture-physiology interactions, we also point out gaps and opportunities for further research and clinical developments in this area. Overall, our review provides both insight into and relevance of maternal posture-physiology interactions vis à vis healthcare's mission to improve health and wellness during pregnancy and beyond.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Physiol Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Physiol Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza