What position will you transport a woman who is in active labor with a feet first presentation?

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Transporting a woman in active labor with a feet first presentation, known as a breech presentation, requires careful consideration of her safety and that of the baby. The left lateral recumbent position is the most appropriate because it helps to optimize uterine blood flow and improve placental circulation. This position can also facilitate better alignment of the fetus during transport, which may encourage a more favorable outcome, as it allows for the pelvis to be slightly tilted and can decrease the risk of cord compression.

Additionally, placing the woman in a left lateral recumbent position can provide comfort and reduce the pressure on major blood vessels, such as the inferior vena cava, which is especially important during labor. This position encourages proper fetal positioning and helps in the management of any complications that may arise during transport.

In contrast, other positions such as Fowlers, Trendelenburg, or Supine may not support the woman's physiological needs or might complicate the labor process. Therefore, the left lateral recumbent position is the most suitable choice for this situation.

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