North Carolina EMT State Practice Exam 2026 - Free EMT Practice Questions and Study Guide

A breech delivery is characterized by the baby's buttocks being delivered first instead of the head. In a typical delivery, the head presents first, which is the most common and safest position for childbirth. In a breech presentation, the baby may be positioned with either the buttocks (as in a complete or frank breech) or feet (as in a footling breech) coming out first.

The rationale for considering the buttocks as the definitive characteristic of a breech delivery is due to the additional complexities and risks associated with this position. It often requires specialized management because the delivery may lead to complications for both the mother and the baby, such as umbilical cord compression or issues with the baby’s airways upon delivery.

Understanding this aspect is crucial for EMTs and healthcare providers as it prepares them to appropriately assess and respond to the needs of a woman in labor, especially in cases of breech presentations that may require different handling or potential transfer to a facility equipped for cesarean delivery, should the need arise.