Common patient positions. (A) Dorsal recumbent (back-lying), legs up - used in gynecological and obstetrical procedures such as forcep delivery or vaginal exam; legs down for comfort and following spinal anesthesia. (B) Prone - may be used in unconscious patients to promote drainage from mouth and prevent flexion contractures. (C) Fowler’s - semi-sitting; 45-60 degrees; knees may or may not be bent. Facilitates breathing and drainage. (D) Sims’- position of choice for enemas and rectal examination, prevents aspiration in unconscious patients, comfortable sleeping position for pregnant woman.

(E) Knee-chest or genupectoral - used tor gynecological and obstetrical conditions such as impacted fetal head or transverse presentation. (F) Trendelenburg - used in abdominal surgery. Modified Trendelenburg (torso flat and feet elevated) preferred in shock. (G) Lithotomy or dorsosacral - used in genital tract operations and vaginal hysterectomy. (H) Right lateral recumbent - side-lying, relieves pressure on sacrum and heels.