How did the PrenaBelt® attachments get their names?
月神附件
露娜 方法 ”月亮“在许多具有拉丁词根的语言中。当您体验 露娜 体位疗法附件,你就会明白为什么它有这个名字了。
诺玛附件
Norma means “normal”, referring to a right angle (90°), in Latin, and the Norma constellation is considered to represent the “carpenter’s square”. Thanks to its shape, the Norma positional therapy attachment derives its name from this constellation.
极光附件
一个 极光 是高纬度地区太阳风引起的自然光现象。 这 极光 体位治疗附件,由于其由使用者的肺部手动充气,因此得名于这种现象。
大熊座附件
Ursa means “bear” in Latin; Ursa Major (“great bear”) and Ursa Minor (“small bear”) are two well-known constellations. The Ursa positional therapy attachment, allowing for two directions of pelvic tilt, is named after the two Ursa constellations.
Carina
这 船底座 星座, 原本是 阿尔戈船星座,位于南方的天空,它的名字的意思是“船的龙骨“在拉丁语中。 这 船底座 侧枕因其功能而得名。 类似于船的龙骨, 船底座 侧枕放在腹部下方,以提供休息时的稳定性。
星云大腿枕
一种 星云 是由尘埃和气体组成的星际云。 这 星云 膝枕因其形状与膝枕相似而得名 螺旋星云.
Vela 热敷包
这 蜡烛 星座, 原本是 阿尔戈船星座,位于南天,其名意为“船帆“在拉丁语中。 这 蜡烛 热包附件的名称来自与其形状和特征相似的星座。
How did the PrenaBelt® arc-and-circle come to be?
For the visual learners, watch our explainer video below! Cliquez ici pour regarder la vidéo en Français
For those who prefer reading, continue reading below (reading time ~5 minutes).
The PrenaBelt® arc-and-circle logo graphically represents the physiology of the effect of pelvic tilt in the third trimester of pregnancy on “aortocaval compression”. Aortocaval compression refers to the compression of two major blood vessels, the abdominal aorta and inferior vena cava, by the enlarging womb (uterus) in late pregnancy. These vessels are squeezed between the uterus and the bones of the spine. The abdominal aorta is an artery that carries oxygenated blood from the heart to the pelvis, uterus, and legs - this vessel is thick-walled and under high pressure and, therefore, can resist compression from the weight of the uterus. The inferior vena cava is a vein that carries deoxygenated blood from the legs, uterus, and pelvis back to the heart - this vessel is thin-walled and under low pressure and, therefore, is susceptible to compression from the weight of the uterus as the pregnancy advances and the uterus enlarges.
When a pregnant woman in the third trimester lies on her left side as seen in the photo below on the left, her uterus is no longer compressing her abdominal aorta or inferior vena cava. Let’s define this as 90° of pelvic tilt. The corresponding image on the right is an MRI showing a cross section of a 42 year-old pregnant woman lying on her left side at 39 weeks’ gestation. The image is taken at her L2-L3 disk level. The red circle from the PrenaBelt® arc-and-circle logo represents the cross-sectional area of the aorta and corresponds to the red overlay delineating the aorta on the MR image. The purple bar from the PrenaBelt® arc-and-circle logo represents the vertical height of the inferior vena cava and corresponds to the purple overlay delineating the inferior vena cava on the MR image.
As she rolls towards her back, her uterus begins to push on her abdominal aorta and inferior vena cava. The photo on the left demonstrates 30° of pelvic tilt. The corresponding MR image shows the cross section of a 39 weeks’ pregnant woman at 30° of pelvic tilt. The purple bar on the arc traces the vertical height of the inferior vena cava. Again, the red and purple overlays delineate the vessels on the MR image. The cross-sectional area of the abdominal aorta and inferior vena cava are essentially unchanged as the aortocaval compression at this angle of pelvic tilt is minimal.
As a she rolls further towards her back, her uterus begins to compress her abdominal aorta and inferior vena cava. The photo demonstrates 15° of pelvic tilt. The corresponding MR image shows the cross section of a 39 weeks’ gestation woman at 15° of pelvic tilt. The purple bar on the arc continues to trace the vertical height of the inferior vena cava, which is now rapidly decreasing due to compression from the uterus. Again, the red and purple overlays delineate the vessels on the MR image. The cross-sectional area of the abdominal aorta is still unchanged due to the muscular and thick wall of this high-pressure vessel. However, at this angle of pelvic tilt, the weight of the uterus resting directly on the relatively low-pressure inferior vena cava compresses it significantly.
Finally, when flat on the back in the third trimester of pregnancy, the uterus begins to compress her abdominal aorta and inferior vena cava. The photo demonstrates 0° of pelvic tilt. The corresponding MR image shows the cross section of a 39 weeks’ pregnant woman at 0° of pelvic tilt or flat on the back. The purple bar on the arc shows the vertical height of the inferior vena cava, which is now minimal. Again, the red and purple overlays delineate the vessels on the MR image. The cross-sectional area of the abdominal aorta remains unchanged. However, at 0° of pelvic tilt, the inferior vena cava is completely occluded by the weight of the overlying uterus.
Reference:
Higuchi H, et al. Effect of Lateral Tilt Angle on the Volume of the Abdominal Aorta and Inferior Vena Cava in Pregnant and Nonpregnant Women Determined by Magnetic Resonance Imaging. Anesthesiology, 2015.