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Positioning to maximise lumbar flexion
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Sitting on side of bed with feet on stool or sat cross-legged on bed
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Chin on chest, pillow under armpits
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Consider bed tilt towards anaesthetist
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Lateral positioning may be more challenging anaesthetically, but mothers often find it easier
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Position may be dictated by fetal tolerance
Positioning to maximise lumbar flexion
-
Sitting on side of bed with feet on stool or sat cross-legged on bed
-
Chin on chest, pillow under armpits
-
Consider bed tilt towards anaesthetist
-
Consider positioning in theatre with ODP assistance for high BMI or more challenging epidurals - allows for bed tilting to improve lumbar flexion
-
Lateral positioning may be more challenging anaesthetically, but mothers often find it easier
-
Position may be dictated by fetal tolerance