![]() ![]() In all but one case the cervix was successfully visualized in the lateral decubitus position and all intended intrauterine procedures were successfully performed. ResultsĮleven patients with severe obesity in the gynecologic practice of the author with prior unsuccessful cervical visualization in dorsal lithotomy position were examined in the lateral decubitus position. The speculum was opened gently as would be done with examination in dorsal lithotomy position until the cervix was visualized. A vaginal speculum was then placed in the vagina with the posterior blade toward the anus. An assistant elevated the upper bent leg 45 degrees from horizontal, exposing the perineum. For the lateral decubitus position, the patient was asked to lie on her side on the exam table, facing away from the examiner with knees bent. From until, all records of patients with obesity and unsuccessful cervical visualization during pelvic exam in the dorsal lithotomy position in the author’s clinical practice were reviewed after obtaining Mayo Clinic Institutional Review Board approval. The objective of the current work was to describe use of the lateral decubitus position to improve visualization of the cervix in women with severe obesity. Pelvic examination may be more difficult due to adiposity in the perineum and labia, increasing the distance between the vulva and cervix. Pressure on the inferior vena cava reducing venous return(blood flow to the heart) can result in reduced blood flow, leading to shock.īut women can change the position during sleeping, Changing the position for shorter periods usually won’t affect the blood supply much.Patients with elevated BMI pose a number of challenges for the gynecologist. pregnancy) this helps the blood flow back to the heart to then be pumped around the body again. Left rather than right lateral recovery position reduces the pressure on the inferior vena cava (the main vein bringing blood from the lower body to the heart) in patients with increased mass or pressure in the abdomen (e.g. ![]() Why left lateral position is recovery position? Otherwise, pressure on blood vessels can also lead to maternal complications like pedal edema, raised blood pressure etc. Sleeping in this position also decreases the edema in foot and hand for mothers. Mothers’ kidneys will also work efficiently, eliminating fluid and drugs from their bodies. Thus make sure that you sleep on your left side during the final weeks of your pregnancy.įor pregnant women, lying on the left side will increase blood flow and nutrients coming to the placenta and fetus. Several studies have revealed that sleeping this way can reduce the chances of stillbirth as well. Decreased placental perfusion can lead to decreased nutrients and oxygen supply reaching to the fetus, which leads to hypoxia etc. It also decreases blood supply to fetal circulation. Usually, doctors will advise sleeping in left lateral position during pregnancy, especially in the advanced gestational stage because during this period the size of uterus increases and it exerts pressure on underlying main abdominal blood vessels. Why pregnant women sleep in left position? Keep your legs and knees bent, and put a pillow between your legs. Sleeping on your left side will increase the amount of blood and nutrients that reach your baby. Even better is sleeping on left lateral position. The best sleeping position during pregnancy is “SOS” (sleep on side). 3 Why left lateral position is recovery position?.2 Why pregnant women sleep in left position?. ![]()
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