2015 Trumbull Memorial Hospital Demo

Childbirth / Labor Childbirth / Labor

Universal Patient Assessment

Clinical Considerations Questions to ask the mother prior to delivery:  Multiple pregnancy?  Was there meconium staining when the water broke?  Any past premature births?  Any narcotics in the past 24 hours?

Have mother lie in preferred birthing position.

OB Emergencies Placenta Previa Abruptio Placenta

Abnormal vaginal bleeding?

Yes

No

Visually Inspect Perineum

Abnormal Presentation

No Crowning

Crowning

Monitor and Reassess

Adult IV/IO Do not delay transport

Appropriate Protocol

Rapid Transport

Childbirth Procedure

Continued bleeding

Up to 500mL of blood loss is normal following delivery. If brisk bleeding continues, massage the uterus over the lower abdomen above the pubis with firm pressure.

If bleeding continues, evaluate massage technique, position for shock. Place infant to mother’s chest.

Oxygen 10-15 LPM NRB Mask

Cardiac Monitor

Transport

39

EMR

EMT

AEMT

Paramedic

Extended