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EMR
EMT
AEMT
Paramedic
Extended
Child Birth
Steps
Performed?
Yes No
1.
Ensure imminent delivery with crowning
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2.
Ensure mother’s ABC’s and oxygenate if necessary.
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3.
Obtain a quick history
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Gestational Age?
Prior complications?
Has the water broken?
Contractions? (frequency, duration)
4.
Place a roll of blankets or pillow under buttocks to facilitate delivery.
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5.
Once the head delivers, consider suction via bulb syringe.
Note that this is no longer common practice, but if excessive secretions appear to occlude the
airways please briefly suction.
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6.
Check for the presence of the umbilical cord around the neck.
If present, gently slip the cord over the neck (may have multiple wraps).
If the cord is wrapped too tightly, carefully clamp and cut the cord.
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7.
Deliver the shoulders by gently applying downward traction of the baby’s head.
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8.
Once delivered, keep the infant at the same level as the uterus until the cord is clamped.
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9.
Clamp the cord at 7” and 10” and cut between the clamps. Follow the Neonatal Care
Protocol for further treatment.
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10. Birth time should be recorded and the infant given APGAR scores at 1 and 5 minutes.
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11. Perform neonatal resuscitation as needed.
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12. Place the baby across the mother’s chest and keep warm. Allow the placenta to deliver
and save. Do not pull on the cord.
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13.
If the mother loses an excessive amount of blood post-delivery, refer to the appropriate
protocol.
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Child Birth