Following epidural anesthesia, the left-lateral posture is ideal. The client is less likely to develop anesthetic adverse effects including hypotension because the placenta is properly perfused in this position.
Legs are spread apart, knees are flexed and raised, and feet are supported by stirrups in the lithotomy position, which is supine. A position like that is suitable for gynecologic examinations, but at this moment, it would put too much pressure on the vena cava. The client is supine and the head of the bed is lifted between 30 and 90 degrees in this position. Although elevating the head after receiving an epidural may cause blood pressure to drop, leaving the patient supine and placing pressure on the vena cava, it is a beneficial position for people who have breathing problems. To prevent hypotension, it is helpful to lie on your right side with your left leg flexed toward your head. However, for enhancing uteroplacental perfusion after an epidural, this is not the optimal position.
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