What is the ideal positioning for a pregnant woman during transport when possible?

The ideal positioning for a pregnant woman during transport is the left lateral recumbent position. This position is beneficial because it helps to optimize blood flow to both the mother and the fetus. When a pregnant woman lies on her left side, it reduces pressure on the inferior vena cava, a large vein that carries deoxygenated blood from the lower body back to the heart. Decreasing pressure on this vein is crucial because, in a supine position, the weight of the uterus can compress it, potentially decreasing venous return and leading to complications such as hypotension and decreased perfusion to the placenta.

Furthermore, the left lateral position also aids in preventing the risk of supine hypotensive syndrome, which can occur when the mother is lying flat on her back. In this condition, the weight of the uterus can impede circulation, leading to dizziness, pallor, and potential harm to both the mother and fetus.

While the right lateral position may also help alleviate pressure on the inferior vena cava, the left side is preferred due to a greater reduction in complications and improved outcomes in fetal circulation. The supine position is generally avoided for pregnant patients, particularly in later trimesters, for the reasons mentioned above. Sitting upright can also be beneficial in certain contexts