What position is preferable for a patient with variable decelerations?

A patient experiencing variable decelerations, which are often caused by umbilical cord compression, benefits from the knee-to-chest position. This positioning enhances pelvic dimensions, which can relieve pressure on the umbilical cord and improve blood flow to the fetus. By bringing the knees towards the chest, the mother is able to reposition the baby and alleviate the cord compression, thereby stabilizing fetal heart rate patterns.

The knee-to-chest position is recognized as one of the most effective strategies to counteract variable decelerations, promoting fetal well-being during labor by allowing for better perfusion and oxygenation.