Why isn't supine … The Trendelenburg position is most often used in surgical procedures of the lower abdomen, pelvis and genitourinary system as it allows gravity to pull the abdominal contents away from the pelvis. It just places you at slightly higher risk. . As a treatment for a pregnancy complication, the Trendelenburg has a very narrow range of application but just because it is infrequently used doesn't mean it is not a vital tool in maintaining the health of some pregnant women and their babies. Epidural anesthesia with the Trendelenburg position for cesarean section with or without a cardiac surgical procedure in patients with severe mitral stenosis: a hemodynamic study. So now we come back to the Trendelenburg. . Pessaries were developed to treat prolapses and are also used to deliver medication such as anti-thrush creams but the type used to prevent preterm labor are unmedicated. The Trendelenburg position involves placing the patient head down and elevating the feet. 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