Obstetric anesthesia

Lumbar pillow placement for left uterine displacement in pregnant women: a randomized, controlled trial

Int J Obstet AnesthPublished Randomised controlled trial

Authors' conclusion

Aligning the pillow's center/upper edge with the right iliac spine optimizes pelvic tilt and minimizes the tilt of the rib cage.

Study context

Population
Healthy pregnant women at >37 weeks' gestation
Participants
38 women
Comparison
Lumbar pillow placement positions vs bed tilted 15° left without pillow
Primary endpoint
Pelvic tilt (angle)
Methodological detailsprospective, crossover (positions in random order)
  • Prospective
  • Crossover (positions in random order)

Primary result

As reported in the abstract

Pelvic tilt
  • Pelvic tilt greater in M/L/B than in U

Secondary outcomes

Thoracic tilt

Greater in B than in all other groups and greater in U than in M/L

BP and heart rate

Did not differ among the groups

Original publication

Lumbar pillow placement for left uterine displacement in pregnant women: a randomized, controlled trial. Int J Obstet Anesth. Published 21 January 2025. doi:10.1016/j.ijoa.2025.104332

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