What is the appropriate action when an umbilical cord is protruding from the vagina during active labor?

When an umbilical cord is protruding from the vagina during active labor, the appropriate action is to insert a gloved hand into the vagina. This technique is crucial because it helps alleviate pressure on the umbilical cord, which can compromise blood flow and oxygen delivery to the fetus. By gently pushing the presenting part of the fetus off the cord using the hand, it can prevent cord compression, thereby minimizing the risk of fetal distress.

It's vital for healthcare providers to act quickly and effectively in such situations to protect the health of both the mother and the baby. This intervention, often referred to as "manual elevation," is considered a critical and urgent response in obstetric emergencies.

The placement of the patient in a supine position is not appropriate, as it may increase pressure on the cord and worsen the situation. Calling for immediate transport can be important, but it does not address the immediate danger of a prolapsed cord. Finally, waiting for the contractions to subside is not advisable, as this too could lead to further complications for the fetus.