Correspondence  |   April 2018
Left Uterine Tilt for Cesarean Delivery Significantly Improves Maternal Hemodynamics and Should Not Be Considered Outdated Dogma
Author Notes
  • Stanford University School of Medicine, Stanford, California (B.C.). bcarvalho@stanford.edu
  • (Accepted for publication December 21, 2017.)
    (Accepted for publication December 21, 2017.)×
Article Information
Correspondence
Correspondence   |   April 2018
Left Uterine Tilt for Cesarean Delivery Significantly Improves Maternal Hemodynamics and Should Not Be Considered Outdated Dogma
Anesthesiology 4 2018, Vol.128, 858-859. doi:10.1097/ALN.0000000000002093
Anesthesiology 4 2018, Vol.128, 858-859. doi:10.1097/ALN.0000000000002093
We would like to congratulate Lee et al.1  on their excellent study, which challenged medical dogma and demonstrated that with appropriate management of the blood pressure during a spinal anesthetic for a cesarean delivery, left uterine displacement does not affect the acid-base status of the neonate. The study was well-designed and executed; however, we strongly disagree with the authors’ interpretation of the data such that “…findings do not support the historical practice and current recommendations for LUD [left uterine displacement] as being essential during elective cesarean delivery to support maternal hemodynamics, prevent spinal-induced maternal hypotension, and maintain neonatal acid–base status in healthy nonlaboring women with uncomplicated pregnancies.”1 
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