Overview: “Pregnant Lady” Technique
The “Pregnant Lady” technique refers to a rescue method used to safely extract a pregnant (or heavier) victim through a window using a ladder. This technique is especially effective when there are two rescuers and is designed for victims who may be more difficult to move due to their weight. In this method, one rescuer works inside the building to locate and position the victim, while the other rescuer operates outside using a ladder.
Step-by-Step Instructions
Step 1: Position the victim’s feet toward the window
First, turn the victim so that their feet are pointing toward the window. This helps make the extraction smoother when pulling them out.

Step 2: Call the second rescuer
Next, the first rescuer calls for a second rescuer. Together, they carefully extend the victim’s legs out through the window. Having two rescuers is key to ensuring a safe and controlled movement.

Step 3: Hold the victim by the pelvis
The rescuer inside grabs the victim firmly by the pelvis (hip area). This grip is crucial to prevent slipping during the lift.

Step 4: Pull the victim toward the window
Using a synchronized count like “1, 2, 3,” the rescuers pull the victim toward the window. The goal is to turn the victim’s body to a 90-degree angle and support their body by sliding hands underneath.

Step 5: Role of the outside rescuer
The rescuer on the ladder aligns their shoulders with the window frame and holds on tightly. They support the victim by lifting and positioning them securely on their shoulder to avoid dropping them.

Step 6: Ladder rescuer’s technique
The rescuer adjusts their knees and leans slightly backward to create a stable point for support. They then shift their grip to the ladder beam, using both hands to fully support the victim’s weight.

Step 7: Adjusting the ladder angle
The rescuer should lean back just enough to allow the victim to be lowered safely. Be careful not to make the ladder too steep—this can cause the victim to get caught on the rungs. A standard ladder angle works best.
Step 8: Landing on the ground
Once the ladder descent is complete, the rescuer kneels down and carefully lowers the victim to the ground. Take care not to drop or jolt the victim during the final stage.
Advantages of the “Pregnant Lady” Technique
- Allows safe rescue of heavier victims through a window
- Uses two rescuers to ensure better control and safety
- Minimizes risk of injury by providing full support during the lift and descent
Disadvantages and Important Notes
- Requires two rescuers — it cannot be done solo
- Strong teamwork and prior training are essential
- Precise adjustments to the ladder angle and victim’s body position are critical
- May be difficult to execute in tight or unstable environments
Summary
The “Pregnant Lady” rescue technique is an effective way to safely extract heavier victims through a window using a ladder and two rescuers. However, it requires good coordination, training, and appropriate situational judgment. When applied correctly, it can be a vital option for safe victim rescue.
Reference Video
References National Fire Protection Association (NFPA)
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