2015 Trumbull Memorial Hospital Demo

Abnormal Deliveries – Breech / Prolapsed Cord Abnormal Deliveries – Breech / Prolapsed Cord

Universal Patient Assessment

Clinical Considerations Obtain pertinent history  Gestational age  Prior complications  Parity/Gravidity

Midwives have no medical authority over EMS.

Oxygen 10-15 LPM NRB Mask

Childbirth Procedure

Nuchal Cord?  Cord wrapped around newborn’s neck

Breech Presentation?  Something other than the head presenting

Prolapsed Cord?  Cord presents ahead of the baby

Try to unwrap cord, or carefully cut, clamp, unwrap, and continue with delivery.

Place the mother face down, knees to chest, and butt in the air (Knee-chest position)

Discourage the mother from pushing

Rapid Transport

Follow appropriate protocol

Rapid Transport

Rapid Transport

Adult IV/IO (mother) if hemodynamically unstable

38

EMR

EMT

AEMT

Paramedic

Extended