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Pregnancy is a common goal for many women with complicated congenital heart disease. The fetus's pelvic descent during the second stage of labor is the most concerning discovery.

Which position might a patient who has experienced congenital heart disease during labor assume?

The left lateral recumbent position is the best one for a laboring lady with compromised heart function. Compared to the supine position, when the pulse pressure rises by 26%, this position causes an increase in the pulse pressure of only 6%.

What posture causes the obstetrical patient with heart illness to have an increase in cardiac output?

Between contractions, shifting from the supine to the lateral recumbent posture (basal circumstances) causes a 22% rise in maternal cardiac output and a 6% decrease in heart rate.

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