What is the best sleeping position for an ectopic pregnancy on the left uterine angle?

Recommended sleeping positions for a gestational sac located near the left uterine cornua include primarily right lateral decubitus, alternating with brief periods of left lateral decubitus, avoiding supine position, moderate semi-recumbent positioning, and strictly prohibiting prone position. The key goal is to reduce pressure on the uterine cornua and encourage the gestational sac to migrate toward the central uterine cavity. If symptoms such as abdominal pain or vaginal bleeding occur, immediate medical attention is advised.

1. Right Lateral Decubitus as Primary Position: This position reduces uterine pressure on the left cornual region, creates space for the gestational sac to shift centrally within the uterine cavity, decreases tension at the cornua, and lowers the risk of rupture. It is the preferred sleeping posture in daily rest.

2. Alternating with Left Lateral Decubitus: Prolonged continuous right-side lying should be avoided. Briefly alternating with left lateral decubitus helps prevent uneven stress on one side of the uterus, promotes pelvic blood circulation, and supports normal development of the gestational sac.

3. Avoid Supine Position: When lying supine, the uterus may compress the inferior vena cava, impairing systemic circulation and potentially increasing pressure on the cornual area where the gestational sac is implanted. Long-term supine positioning is not conducive to repositioning of the gestational sac and should be minimized.

4. Moderate Semi-Recumbent Position: During rest, elevating the upper body by approximately 30° can alleviate abdominal pressure and improve pelvic blood flow. This position may be briefly adopted when experiencing fatigue or back discomfort during pregnancy but should not replace side-lying positions.

5. Prohibit Prone Position: Lying face down directly compresses the abdomen, exerting pressure on the uterus and gestational sac, which may increase mechanical stress on the cornual region and lead to discomfort or complications. This position must be strictly avoided throughout pregnancy.

Pregnant women should maintain regular sleep patterns, avoid staying up late and excessive fatigue; eat a balanced diet rich in nutrients to strengthen physical health; refrain from intense physical activity and abdominal trauma; and attend routine prenatal checkups to monitor changes in the position of the gestational sac, thereby supporting a healthy pregnancy.