A 27-year-old female at 26 weeks gestation experiences contractions and feels lower abdominal pressure with vaginal bulging. What should you do?

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Multiple Choice

A 27-year-old female at 26 weeks gestation experiences contractions and feels lower abdominal pressure with vaginal bulging. What should you do?

Explanation:
Recognize imminent delivery. Contractions with abdominal pressure and a bulging presenting part at the vaginal opening indicate the baby is about to be born. At 26 weeks this is a preterm birth, so the priority is to be ready for delivery and get the patient to a facility equipped for obstetric and neonatal care as quickly as possible. That means setting up for a rapid delivery, maintaining warmth and comfort, monitoring as feasible, and transporting without unnecessary delays. Don’t wait to “transport only” or try to slow the birth unless there are clear signs of complications.

Recognize imminent delivery. Contractions with abdominal pressure and a bulging presenting part at the vaginal opening indicate the baby is about to be born. At 26 weeks this is a preterm birth, so the priority is to be ready for delivery and get the patient to a facility equipped for obstetric and neonatal care as quickly as possible. That means setting up for a rapid delivery, maintaining warmth and comfort, monitoring as feasible, and transporting without unnecessary delays. Don’t wait to “transport only” or try to slow the birth unless there are clear signs of complications.

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