During chest compressions on a pregnant patient, where should compressions be applied?

During chest compressions on a pregnant patient, it is important to place the compressions higher on the sternum. This positioning accounts for the physiological changes and anatomical displacement that occurs in a pregnant woman's body, particularly as the uterus enlarges and elevates the diaphragm and other thoracic structures. By positioning compressions higher on the sternum, the rescuer ensures that they are effectively compressing the heart, which may be pushed upwards due to the pressure from the expanding uterus.

Additionally, performing compressions higher on the sternum helps maximize blood flow during resuscitation efforts. It is vital to engage in this practice to overcome the altered hemodynamics often present in pregnant patients, where the position of the heart may be shifted, and the increased blood volume and pressure can change the effectiveness of traditional resuscitation techniques.

The proper technique is crucial during an emergency, especially in a pregnant patient where both maternal and fetal outcomes are at stake. Thus, placing compressions higher on the sternum facilitates a more effective cardiopulmonary resuscitation (CPR) process tailored to the specific anatomical considerations of a pregnant individual.