Around 10% of pregnant women develop supine hypotension syndrome. In others, supine compression of the inferior veva cava is concealed since there is no change in maternal blood pressure and only a small decrease in cardiac output.’ To avoid the problems of supine hypotension, the lateral position has been advocated for maternal management during labour for fetal blood sampling and even for establishing regional anaesthesia. As a result it has become increasingly popular to perform regional anaesthesia for caesarean section (CS) in the lateral position and to maintain the lateral position until surgery is ready to begin. However, no prospective randomised studies have been undertaken to compare the effect of lateral position with left lateral tilt position on neonatal outcome. The aim of this study was to assess whether there was a difference in neonatal outcome if parturients were placed in left lateral or 20” left lateral tilt position after the induction of spinal anaesthesia.