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EMR
EMT
AEMT
Paramedic
Extended
Childbirth / Labor
Childbirth / Labor
Universal Patient Assessment
Have mother lie in preferred
birthing position.
Abnormal vaginal bleeding?
OB Emergencies
Placenta Previa
Abruptio Placenta
Visually Inspect
Perineum
Crowning
No Crowning
Monitor and Reassess
Adult IV/IO
Do not delay transport
Abnormal
Presentation
Appropriate
Protocol
Rapid Transport
Childbirth Procedure
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.
Transport
Oxygen
10-15 LPM NRB Mask
If bleeding continues,
evaluate massage
technique, position for
shock. Place infant to
mother’s chest.
Cardiac Monitor
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?
Yes
No
Continued bleeding