During a obstetrical emergency with imminent delivery, which action should you take if time for transport is limited?

During a obstetrical emergency with imminent delivery, which action should you take if time for transport is limited?

• A. Stabilize and wait
• B. Proceed with delivery
• C. Call for ALS and transport
• D. Move to a supine position and monitor

Answer: (B)

The key idea is that when delivery is imminent and there isn’t enough time to safely transport, the priority is to facilitate the birth right away. Delaying to stabilize or move the patient can increase risks to both mother and baby. Proceeding with delivery means you stay with the patient, provide basic obstetric support, and guide the birth to conclusion on scene. This includes helping with position and gentle delivery when crowning, maintaining the airway, suctioning as needed, keeping the mother warm, and supporting the perineum to reduce tearing. After birth, you’d care for the newborn and mother per protocol (such as cord management and ongoing monitoring) while arranging for advanced care if available. Calling for additional help can be done to assist, but it should not delay delivery.

The key idea is that when delivery is imminent and there isn’t enough time to safely transport, the priority is to facilitate the birth right away. Delaying to stabilize or move the patient can increase risks to both mother and baby. Proceeding with delivery means you stay with the patient, provide basic obstetric support, and guide the birth to conclusion on scene. This includes helping with position and gentle delivery when crowning, maintaining the airway, suctioning as needed, keeping the mother warm, and supporting the perineum to reduce tearing. After birth, you’d care for the newborn and mother per protocol (such as cord management and ongoing monitoring) while arranging for advanced care if available. Calling for additional help can be done to assist, but it should not delay delivery.