For a neonate with necrotizing enterocolitis, which position should be used to minimize abdominal pressure?

• A. Supine to avoid pressure on the abdomen
• B. Prone
• C. Lateral decubitus
• D. Semi-Fowler's

Answer: (A)

Minimizing external abdominal pressure helps prevent further distention and protects bowel perfusion in a neonate with NEC. A supine position provides a neutral, even distribution of weight with no direct pressure on the abdomen, which helps keep the abdominal contents from being compressed. This setting also facilitates gastric decompression with a nasogastric tube. In contrast, turning to prone or lateral positions can shift or press on the abdomen, increasing abdominal pressure and potentially worsening distension. Elevating the head (Semi-Fowler’s) can change body mechanics in a way that doesn’t reduce abdominal pressure as effectively as lying flat.