When a full-term multipara female is in labor and crowning, what should be your primary action?

When a full-term multipara female is in labor and crowning, the primary action should be to deliver the baby on scene. Crowning indicates that the baby's head is visible at the vaginal opening, which means delivery is imminent. In such situations, the safety of both the mother and the newborn is paramount, and any delay in delivery can result in complications for both.

Delivering the baby on scene allows for immediate care and attention to potential complications such as umbilical cord issues or the baby needing resuscitation. It is crucial to be prepared for the delivery by ensuring proper techniques and having necessary equipment ready, but the overriding priority is to assist the mother in delivering the baby safely.

While monitoring the fetal heart rate can provide valuable information about the baby's condition, immediate fetal monitoring is not the first action when crowning occurs, as delivery takes precedence. Administering analgesics may be appropriate for pain management, but at the stage of crowning, it is often too late for effective pain relief. Initiating transport to the hospital is also not advisable, as the baby is in a position to be born and the focus should be on managing the delivery rather than transferring the patient.