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Breech delivery — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

HardPaediatric and Obstetric EmergenciesBreech deliveryDipIMC

During an unplanned roadside delivery, the baby's buttocks deliver first and the baby is visible to the umbilicus. No obstetric support is on scene. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: B — Support the baby without traction and request urgent midwifery or obstetric support

Option B is correct because Breech delivery requires calm support, avoidance of traction and urgent expert help where available. Option E is less appropriate because watchful waiting risks deterioration or delays definitive care; option A is less appropriate because the clinical risk exceeds that destination or timeframe. Option D is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option C is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines; Resuscitation Council UK; PROMPT principles