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.
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%.
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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