The postural impact of the gravid uterus on the renal veins and its clinical significance
These results highlight the potential for renal venous compression and the flow-protective potential of the left lateral posture. Imaging data demonstrates renal venous compression in the supine posture and self-reported sleep data demonstrate that patients may inadvertently sleep supine even when falling asleep on their side. While most patients likely have a collateral network to accommodate renal venous compression, those who do not may be vulnerable to HDP. A longitudinal patient-matched prospective study is needed to fully dissect this underlying mechanism.
Authors
- Brandon P. Brown (ORCID: https://orcid.org/0000-0002-1120-1495)
- Joanna M. Izewski (ORCID: https://orcid.org/0000-0003-4976-7491)
- David G. Reuter (ORCID: https://orcid.org/0000-0002-8729-3365)
- Samantha Tilmon
- Craig J. Goergen (ORCID: https://orcid.org/0000-0001-8883-7953)
- Rachel Bennett (ORCID: https://orcid.org/0000-0001-9739-0946)
- George R. Wodicka (ORCID: https://orcid.org/0009-0006-7330-1308)
- David M. Haas (ORCID: https://orcid.org/0000-0002-8379-0743)
- Alexis L. Green
- Jennifer L. Anderson (ORCID: https://orcid.org/0000-0003-1975-4032)
- Anthony L. Shanks (ORCID: https://orcid.org/0000-0001-5916-1683)
- Kaitlyn Enderle
- Juliet M. Prieto (ORCID: https://orcid.org/0009-0008-8799-447X)
Institutions
- Seattle Children's Hospital (US)
- Purdue University West Lafayette (US)
- Riley Hospital for Children (US)
- University School (US)
- Indiana University School of Medicine
- Indiana University – Purdue University Indianapolis (US)
- Indiana University (US)
Publication Details
- Journal
- The Journal of Maternal-Fetal & Neonatal Medicine
- Published
- 2025-11-03
- DOI
- https://doi.org/10.1080/14767058.2025.2576480
- Primary Topic
- Diagnosis and Treatment of Venous Diseases
- Type
- article
- Field-Weighted Citation Impact
- 0.00