West Coast EMT Block One Exam

When transporting a pregnant female patient, what position should she be placed in?

1. On her left side

2. In a position of comfort

3. Supine with her legs elevated

4. In the Fowler position

The correct answer is: On her left side

Transporting a pregnant female patient in the left lateral position, or on her left side, is considered best practice primarily for two key reasons: to enhance blood flow and to reduce the risk of fetal distress. When a pregnant woman lies on her back (supine position), the weight of the uterus can compress the inferior vena cava, especially in the later stages of pregnancy. This compression can lead to decreased venous return to the heart, which can subsequently reduce blood flow to the placenta and the fetus, potentially causing hypotension in the mother and compromising fetal oxygenation. Placing the patient on her left side helps to alleviate this compression, allowing for better circulation and potentially better outcomes for both the mother and the fetus. This position utilizes gravity to aid in the blood flow and minimizes the risk of supine hypotensive syndrome, making it the preferred choice during transport.