College of Massage Therapists of British Columbia (CMTBC) Practice Exam

Which of the following positions is effective for reducing edema in pregnant patients?

1. Supine position

2. Seated position

3. Prone position

4. Side-lying position

The correct answer is: Side-lying position

The side-lying position is effective for reducing edema in pregnant patients for several important reasons. One key factor is that this position enhances venous return from the lower extremities, especially when the patient lies on her left side. This is due to the anatomy of the inferior vena cava, which can be compressed by the weight of the uterus when a pregnant woman is in the supine position. By adopting the side-lying position, the pressure on this vein is alleviated, promoting better blood circulation and fluid drainage, which can significantly help reduce swelling or edema. Additionally, lying on the side can improve comfort for the pregnant individual and may allow for better relaxation of the body, aiding in overall wellbeing during the later stages of pregnancy. This position also facilitates better fetal positioning and may enhance overall maternal and fetal comfort during massage therapy sessions. In contrast, the supine position can lead to increased pressure on major blood vessels, which can compromise circulation and exacerbate edema. The seated position may not provide the same level of relief, as it does not effectively address the potential for venous compression from the abdominal weight. The prone position is generally discouraged during pregnancy due to the discomfort and potential risk it poses to both the mother and fetus. Thus, the