Effect of Prone Positioning on Hemodynamic Parameters among Pregnant Women with COVID-19-related Hypoxemia | ||
| Egyptian Journal of Health Care | ||
| Article 106, Volume 13, Issue 3, September 2022, Pages 1412-1424 PDF (669.3 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2022.264618 | ||
| Authors | ||
| Suzan El-Said Mansour1; Adel Al-Wehedy Ibrahim2; Mostafa Mohamed Zanaty3; Ahlam Mohammed Ibrahim Gouda1 | ||
| 1Woman's Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, Egypt. | ||
| 2Public Health & Community Medicine Department, Faculty of Medicine, Mansoura University, Egypt. | ||
| 3Critical Care and Emergency Nursing Department, Faculty of Nursing, Mansoura University, Egypt | ||
| Abstract | ||
| The current study aimed to evaluate the effect of prone positioning on hemodynamic parameters among pregnant women with COVID-19-related hypoxemia. Materials and method: A quasi experimental pre-posttest design was utilized. The study was carried out at the ICU in Mansoura university hospital, one of the isolation hospitals assigned to receive covid-19 patients. A purposive sample consisting of 36 pregnant women with confirmed COVID-19 was selected according to the inclusion criteria. Data was collected through a Structured Interview Questionnaire, Hemodynamic and Oxygenation Parameters chart, and Visual Analog Scale for dyspnea and discomfort. Results: There was a significant difference between pre and post-test results in favor of post-intervention. Whereas, there was an improvement in most hemodynamic parameters mean scores after prone positioning evidenced by a significant increase in the average measurement of Peripheral oxygen saturation, PH, Arterial oxygen saturation, and PaO2 and a significant decrease in the average measurement of Respiratory Rate, PaCO2, PaO2/FiO2, and heart rate. Also, the fetal heart rate mean scores significantly decreased from 165.25 ± 18.10 beats/minute to 148.97 ± 14.47 beats/minute after prone positioning. Moreover, there was a significant improvement in dyspnea levels after applying for the prone position; the moderate and severe dyspnea decreased from 58.3% to 8.3% and the discomfort level had shown significantly decreased. There was a positive significant strong (r=0.924, P<0.001) correlation between dyspnea and discomfort level before practicing prone positioning. Conclusion: The current study findings highlighted that applying a prone positioning had a highly statistically significant effect on improving the hemodynamic parameters and decreasing dyspnea and discomfort levels among pregnant women with COVID-19-related hypoxemia as well as the fetal heart rate. Recommendations: Large-scale studies in different ICUs in many hospitals are needed to provide strong evidence about the effectiveness of the prone position in non-intubated and intubated pregnant patients infected with COVID-19. | ||
| Keywords | ||
| COVID-19; Hemodynamic Parameters; Prone positioning; Pregnant Women | ||
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