How can a client prevent supine hypotension during pregnancy?

Lying on the left side with the head elevated is an effective method for preventing supine hypotension during pregnancy. The condition occurs when the weight of the uterus compresses the inferior vena cava, which can reduce blood flow back to the heart and potentially lead to decreased circulation to both the mother and fetus. By positioning the body on the left side, this pressure is alleviated, allowing for better venous return and improved circulation. Elevating the head can also help with comfort and reduce the risk of other complications, such as acid reflux.

Other positioning options do not address the underlying issue as effectively. Lying on the back, even with legs elevated, still places pressure on the inferior vena cava. Sitting up straight may help with comfort but does not alleviate pressure in the same way as the left side position. While sleeping on the right side is a change from back sleeping, it may still allow for some compression of the inferior vena cava, which can lead to similar issues as lying flat on the back. Therefore, the left lateral position is the most recommended and effective way to prevent supine hypotension during pregnancy.