What position is recommended to avoid supine hypotensive syndrome in a pregnant client?

The recommended position to avoid supine hypotensive syndrome in a pregnant client is the side-lying position. This condition occurs when a pregnant woman lies flat on her back, causing the weight of the uterus to compress the inferior vena cava, which can lead to decreased venous return and reduced cardiac output.

Sleeping or resting in a side-lying position, particularly the left side, helps to alleviate pressure on the major blood vessels, thus improving blood flow to the heart and ensuring adequate circulation to both the mother and fetus. This position is not only effective in preventing supine hypotensive syndrome but also promotes placental perfusion and can aid in the overall comfort of the pregnant woman during sleep.

Other positions, such as sleeping on the back with knees elevated, may not adequately relieve the pressure on the inferior vena cava, and simply sitting with feet elevated or standing for short intervals may not provide the same level of support for optimal blood flow and could still lead to uncomfortable symptoms. Therefore, the side-lying position is strongly advocated as the safest and most effective method to prevent this syndrome during pregnancy.