The woman must be transferred in lateral tilt position.
- Pregnant women's inferior vena cava compression is consistently relieved by a 30° left-lateral tilt, while in certain cases, a 30° right-lateral tilt posture results in the best inferior vena cava volume.
- Although it is conventional wisdom that women having spinal anesthesia for a cesarean delivery should be positioned with a 15° left-lateral tilt, the patients in many of the early trials were actually in a right-lateral tilt position. Unknown is the superiority of right posture over left positioning for ideal inferior vena cava volume. We compared the effects of right-lateral and left-lateral tilt positions on the abdominal aortic and inferior vena cava volumes in pregnant women using magnetic resonance imaging.
- The gravid uterus's compression of the inferior vena cava was consistently lessened by a 30° left-lateral tilt.
Therefore, lateral tilt is the correct answer.
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