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Delivery normal third stage — DipIMC MCQ

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EasyPaediatric and Obstetric EmergenciesDelivery normal third stageDipIMC

A baby is delivered in an ambulance and cries immediately. The placenta has not delivered after five minutes and the mother is stable with minimal bleeding. What is the most appropriate management?

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

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Correct answer: B — Keep mother and baby warm, monitor bleeding and transfer without pulling the cord

Keep mother and baby warm, monitor bleeding and transfer without pulling the cord is the best answer because cord traction without training or indication risks uterine inversion or retained placental complications. Use oral analgesia as the main treatment is less appropriate because oral therapy is inadequate or unreliable in major trauma; Provide reassurance and reassess after transport is less appropriate because reassurance is inadequate for an evolving major trauma problem. Give unrestricted crystalloid to normalise blood pressure and Defer treatment until a senior hospital doctor reviews the patient are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: JRCALC Guidelines; RCOG intrapartum care guidance