Prehospital Care Manual online - Contra Costa Health Services
Prehospital Care Manual online - Contra Costa Health Services
Prehospital Care Manual online - Contra Costa Health Services
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G5–GENERAL CHILDBIRTH – ROUTINE OR COMPLICATED<br />
IMMINENT DELIVERY - Regular contractions, bloody show, low back pain, feels like bearing down,<br />
crowning<br />
PREPARE FOR<br />
DELIVERY<br />
Reassure mother, instruct during delivery<br />
CONSIDER IV TKO if time allows<br />
• As head is delivered, apply gentle pressure to prevent rapid delivery of the<br />
infant<br />
DELIVER INFANT • Gently suction baby’s mouth, then nose, keeping the head dependent<br />
• If cord is wrapped around neck and can’t be slipped over the infant’s head,<br />
double-clamp and cut between clamps<br />
CLAMP/CUT<br />
CORD<br />
WARMING<br />
MEASURES<br />
PLACENTA<br />
DELIVERY<br />
POST-DELIVERY<br />
OBSERVATION<br />
Immediately double-clamp cord 6-8 inches from baby and cut between clamps (if not<br />
done before delivery)<br />
Dry baby and keep warm, placing baby on mother’s abdomen or breast<br />
If placenta delivers, save it and bring to the hospital with mother and child<br />
DO NOT PULL ON UMBILICAL CORD TO DELIVER PLACENTA<br />
Observe mother and infant frequently for complications. To decrease post-partum<br />
hemorrhage, perform firm fundal massage, put baby to mother’s breast.<br />
TRANSPORT Prepare mother and infant for transport. Neonatal care or resuscitation as indicated.
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