A 25-year-old pregnant female has the urge to push and reports that her water broke with green fluid. What is the recommended position for her?

In this scenario with the pregnant female who has the urge to push and reports the presence of green fluid, likely indicating meconium-stained amniotic fluid, the recommended position is the knee-chest position. This positioning can help in a couple of important ways.

First, the knee-chest position can help relieve umbilical cord compression, which is a concern when meconium is present. By positioning the woman in this way, gravity aids in reducing pressure on the umbilical cord and optimizing blood flow to the fetus. This is crucial in cases where there is potential fetal distress, as meconium can increase the risk of complications such as meconium aspiration syndrome.

Additionally, the knee-chest position can enhance pelvic outlet diameter, making it easier for the baby to descend during labor. It encourages optimal fetal positioning and can be beneficial during contractions.

Given these advantages, the knee-chest position is particularly important in cases of meconium-stained fluid to ensure both the safety of the fetus and effective labor progression.