A, Manual LUD, performed with one-handed technique. B, Two-handed technique during resuscitation

This figure contains two color illustrations. Figure A shows a manual L.U.D., performed with the one-handed technique. (“L.U.D.” stands for “lateral uterine displacement.”) Figure B depicts the two-handed technique during resuscitation. Manual L.U.D. effectively relieves aortocaval pressure in pregnant patients with hypotension. Both illustrations depict the patient in the supine position. In Figure A, the rescuer is to the right of the patient performing the one-handed technique, pushing the uterus upward and leftward off the maternal vessels. In Figure B, the rescuer is to the left of the patient performing the two-handed technique, cupping the uterus and pulling it upward and leftward off the maternal vessels. In either technique, the rescuer must be careful not to inadvertently push down, which would increase the amount of inferior vena cava compression and negatively affect maternal hemodynamics. This figure is copyright 2015 by the American Heart Association. There is a caption beneath these Figure which reads: “A, Manual LUD, performed with one-handed technique. B, Two-handed technique during resuscitation.”