In a breech birth, what is the recommended action?

In a breech birth, what is the recommended action?

• A. Rapid transport.
• B. Attempt to deliver breech on scene.
• C. Push the buttocks and legs to deliver first.
• D. Clamp cord before delivery.

Answer: (A)

Rapid transport to a facility with obstetric and neonatal care is the recommended action in a breech birth. Breech deliveries in the field carry significant risks, including fetal distress from head entrapment or cord prolapse and complications that require surgical and neonatal support not available outside a hospital. Moving quickly to definitive care minimizes the time the baby is at risk and ensures access to appropriate interventions if needed. While en route, provide supportive care: keep the mother comfortable and monitored, protect the newborn from heat loss, and be prepared to manage complications within your scope. Avoid trying to complete a breech delivery on scene, as this can delay care and increase the likelihood of injury; clamping the cord before the baby is delivered disrupts placental blood flow and is not appropriate. The emphasis is on rapid transport paired with basic stabilization to optimize outcomes.

Rapid transport to a facility with obstetric and neonatal care is the recommended action in a breech birth. Breech deliveries in the field carry significant risks, including fetal distress from head entrapment or cord prolapse and complications that require surgical and neonatal support not available outside a hospital. Moving quickly to definitive care minimizes the time the baby is at risk and ensures access to appropriate interventions if needed. While en route, provide supportive care: keep the mother comfortable and monitored, protect the newborn from heat loss, and be prepared to manage complications within your scope. Avoid trying to complete a breech delivery on scene, as this can delay care and increase the likelihood of injury; clamping the cord before the baby is delivered disrupts placental blood flow and is not appropriate. The emphasis is on rapid transport paired with basic stabilization to optimize outcomes.