When a mother is giving birth in your ambulance and you see the buttocks of the baby present first, what do you do?

In a situation where the buttocks of the baby are presenting first, known as a breech birth, it is critical to encourage the mother not to push. This is because pushing can lead to complications, such as the baby's head becoming stuck in the birth canal, which can compromise the infant's airway and overall well-being.

In these cases, managing the situation calmly and ensuring that the airway is maintained is essential. While it may be necessary to prepare for immediate delivery in some breech cases, the priority at this stage is to prevent the mother from pushing until further assistance or proper positioning for delivery can be established. By advising the mother not to push, you help to reduce the risk of potential complications during the delivery.

Additional steps, such as calling for help or administering oxygen, might be appropriate in different contexts but are not the immediate priority when dealing with a breech presentation. The key focus here is on the mother's actions at this critical moment to ensure both her safety and that of the baby.