If a pregnant woman indicates "the baby is coming" and two feet are visible at the vaginal opening, what is the correct action?

When a pregnant woman presents with visible feet at the vaginal opening, this indicates that she is experiencing a breech presentation, where the baby is positioned with the feet or buttocks first instead of the head. In this situation, the priority is to prepare for immediate delivery, as the baby could be born very quickly.

Coaching the mother to breathe can help manage her contractions and keep her calm, but the immediate action should also include preparing for delivery on site because there might not be sufficient time for transportation to a medical facility. Active management is crucial, since breech deliveries can present unique challenges and may require specialized techniques to safely deliver the baby.

Pursuing emergent transport is not the best option when feet are already visible, as there may not be enough time to transport the mother safely. Instead, it is essential to be ready to assist with the delivery as it unfolds. Assessing the situation for a potential umbilical cord prolapse would also be important, but in this case, the priority should focus on preparing for an imminent birth rather than attempting to call for backup assistance.