Which scenario requires transport with knee-chest or Trendelenburg position?

• A. Prolapsed umbilical cord
• B. Left-Lateral Recumbent for all pregnancy transports
• C. Normal labor with no complications
• D. Breech presentation without prolapse

Answer: (B)

The situation tests how to relieve pressure on the umbilical cord when there’s a risk of cord prolapse. A prolapsed cord can be life-threatening for the fetus because the cord can be compressed between the presenting part and the birth canal. Placing the mother in knee-chest or Trendelenburg position uses gravity to move the uterus and presenting part away from the cervix, relieving cord compression and helping maintain fetal oxygenation during transport. While this positioning helps in a prolapsed cord, it isn’t needed in normal labor with no complications or in breech presentation without prolapse. For most pregnancy transports, the left-lateral recumbent position is used to improve uterine perfusion by reducing vena cava compression.