What is the recommended positioning for a pregnant patient to avoid hypotension?

The recommended positioning for a pregnant patient to avoid hypotension is the left-lateral side position. This position is beneficial primarily because it alleviates pressure on the inferior vena cava, which can become compressed in the supine position due to the weight of the gravid uterus. When the vena cava is compressed, it can reduce venous return to the heart, leading to a decrease in cardiac output and potential hypotension.

By using the left-lateral position, there is improved blood flow to the placenta and uterus, enhancing oxygenation and nutrient delivery to the fetus while also maintaining maternal blood pressure. This positioning is especially important in the later stages of pregnancy when the uterus is larger and more likely to exert pressure on major blood vessels. Adopting this position can help mitigate risks associated with supine hypotensive syndrome, which can manifest as signs of dizziness, weakness, and even fainting in pregnant patients.

In contrast, other positions such as supine can increase the likelihood of hypotension, whereas sitting upright may not provide sufficient support to alleviate pressure on the blood vessels. Elevating the feet can assist with venous return but does not specifically address the compression issues experienced in pregnant patients when lying flat. Thus, the left-lateral side position effectively promotes better