If crowning occurs during transport, what should you do?

• A. Continue driving to hospital
• B. Stop the ambulance and prepare for delivery
• C. Call for additional help but keep moving
• D. Deliver while still moving

Answer: (B)

When crowning during transport, the priority is to stop in a safe location and prepare for delivery. Crowning means the baby's head is visible and birth is imminent, so continuing to drive risks a chaotic, unsafe birth and delays the necessary assistance. By stopping, you can gather supplies, get help if needed, and create a controlled environment for the delivery. You can then guide the birth gently, support the perineum to slow delivery, and assist with the head and body as they emerge. After birth, focus on keeping the newborn warm, clearing the airway if needed, and monitoring both mother and baby, before continuing transport if appropriate.