Supine Hypotensive Syndrome

  • Cassandra Wasson
  • Albert Kelly
  • David Ninan
  • Quy Tran


This chapter defines supine hypotensive syndrome and its causes and treatment.


Bradycardia Decreased blood pressure Supination Compression of the aorta Compression of inferior vena cava Left uterine displacement 
  1. 1.

    Bradycardia and drop in BP with supination seen during normal pregnancy

  2. 2.

    Due to compression of the aorta and inferior vena cava by the gravid uterus

  3. 3.

    Signs/symptoms: pallor, tachycardia, sweating, nausea, hypotension, dizziness

  4. 4.

    All pregnant women over 20 weeks’ gestation should be positioned with left uterine displacement to minimize aortocaval compression


Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Cassandra Wasson
    • 1
  • Albert Kelly
    • 1
  • David Ninan
    • 2
  • Quy Tran
    • 3
  1. 1.Riverside University Health System - Medical CenterMoreno ValleyUSA
  2. 2.Riverside University Health System - Medical CenterLoma LindaUSA
  3. 3.Harbor–UCLA Medical CenterTorranceUSA

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