What is the correct procedure for relieving an airway obstruction on an unconscious pregnant woman at 8 months' gestation?

The correct procedure for relieving an airway obstruction in an unconscious pregnant woman at eight months' gestation is to place a rolled blanket under the right abdominal flank and hip area. This position is crucial as it helps to relieve pressure on the inferior vena cava, a large vein that can be compressed by the weight of the uterus when the woman lies flat on her back, especially in the later stages of pregnancy. By tilting the woman to the left (often achieved by placing a support under her right side), this maneuver optimizes blood flow and minimizes the risk of hypotension, ensuring that both the mother and the fetus remain stable during the emergency intervention.

In this scenario, administering abdominal thrusts is inappropriate due to the potential for injury. Instead, chest thrusts may be utilized when the woman is unconscious, but proper positioning is the first crucial step.

Positioning her supine does not take into account the physiological changes of pregnancy, which can lead to compromised venous return and decreased cardiac output, making it unsafe.

Using a finger sweep to remove the obstruction could cause further airway trauma and is typically advised only if the object is visible and easily removable, rather than as a standard procedure.

In emergencies involving pregnant individuals, adjusting the position correctly is essential for ensuring