Bring the woman in labor to knees to the chest. Knee chest position. The patient is positioned on one side with both knees bent and the top leg pulled up toward the chest.
This posture can be modified so that the labor patient can lie with the bottom leg erect and the top leg bent near to the chest. With the handle pointing toward the patient's back or abdomen, insert the speculum. Make sure to angle the speculum toward the small of the patient's back rather than straight up toward the head because the patient is resting on his or her side. The patient needs to roll onto her back after the speculum is taken off. If the patient is unable to separate their legs, the companion may assist in elevating one leg.
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