KnieBrustPosition

KnieBrustPosition, also known as the knee-chest position, is a medical posture used in various clinical settings to facilitate examination, procedures, or management of certain obstetric conditions. The position involves the patient being supported on hands and knees with the chest and abdomen lowered toward the supporting surface and the hips flexed and elevated. Variations exist, with the chest resting on the table or supported by pillows, and the arms placed either forward or alongside the head.

Description and variations can differ in detail, but the common element is a forward-leaning stance that raises the buttocks and allows access to the perineal region or pelvis. In some cases the head is turned to the side to maintain an open airway, and cushions or pads are used to improve comfort and stability. The exact setup is chosen to suit the clinical objective and patient comfort.

Indications for the KnieBrustPosition include certain obstetric emergencies (such as facilitating access when managing presenting parts or performing manual maneuvers), and exposure requirements for specific perineal, anorectal, or gynecologic procedures. It may also be employed temporarily during anesthesia or diagnostic maneuvers where improved access or positioning is beneficial. The position is typically used for short durations and under supervision.

Risks and considerations include discomfort, dizziness or lightheadedness, possible nerve or muscle strain, and the potential for airway compromise if the chest or abdomen is constricted. It is contraindicated in suspected spinal injuries, unstable fractures, or other conditions where a prone kneeling posture would pose risks. Proper padding, careful monitoring, and prompt reassessment are essential.