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Imminent birth — DipIMC MCQ

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EasyPaediatric and Obstetric EmergenciesImminent birthDipIMC

A woman in labour at home says she needs to push. The fetal head is crowning, contractions are frequent and the ambulance journey to hospital is 25 minutes. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Prepare for imminent birth at scene while requesting support

Crowning with frequent contractions indicates imminent birth, and attempting transfer may risk uncontrolled delivery en route. The team should prepare equipment, keep the mother warm and request support. Fundal pressure and forced breath-holding are inappropriate. The pearl is that the safest place for delivery may be the place where birth is already happening.

Reference: JRCALC Guidelines 2025; Resuscitation Council UK Newborn Life Support