A 34-week pregnant patient with abdominal pains is being prepared for transport; where should she be placed on the stretcher?

• A. supine with legs elevated
• B. on her left side
• C. in a position of comfort
• D. in the Fowler position

Answer: (B)

Placing a late-pregnant patient on the left side relieves the uterus’ pressure on the inferior vena cava, which improves venous return to the heart and placental blood flow. In the third trimester, lying flat can reduce cardiac output and fetal oxygen delivery due to IVC compression, so the left-side position is preferred during transport for abdominal pain or potential distress. Other positions either don’t relieve the compression, may be uncomfortable without guaranteeing perfusion, or can hinder breathing with a large uterus. Therefore, the best choice is to position her on the left side.