What is the first action a midwife should take when a patient in active labor states, 'The baby is coming'?

In the context of active labor, when a patient expresses that "the baby is coming," it is crucial for the midwife to prepare for immediate delivery. This statement suggests that the baby's descent is imminent, and time is of the essence in ensuring that both the mother and the newborn remain safe during the birth process.

Preparing for immediate delivery means that the midwife needs to assess the situation quickly, set up the necessary equipment, and ensure the environment is ready for a safe and efficient delivery. This includes having sterile supplies on hand, preparing for possible complications, and being ready to provide necessary support and interventions during childbirth.

The other actions, such as calling for a physician, administering medication, or beginning resuscitation measures, may not be immediately relevant in this situation. While communicating with the physician may be necessary after ensuring readiness for delivery, it is not the first action to take when immediate delivery is required. Similarly, administering medication may interrupt the natural progress of labor at this critical moment, and resuscitation measures would only be indicated after the baby has been delivered or if there is a specific indication of fetal distress that warrants immediate action, which is not implied in the initial statement from the patient.