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EMR
EMT
AEMT
Paramedic
Extended
Abnormal Deliveries – Breech / Prolapsed Cord
Abnormal Deliveries – Breech / Prolapsed Cord
Universal Patient Assessment
Oxygen
10-15 LPM NRB Mask
Childbirth Procedure
Breech Presentation?
Something other than
the head presenting
Discourage the mother
from pushing
Prolapsed Cord?
Cord presents ahead
of the baby
Place the mother face
down, knees to chest,
and butt in the air
(Knee-chest position)
Rapid Transport
Rapid Transport
Midwives have no
medical authority over
EMS.
Adult IV/IO
(mother)
if hemodynamically unstable
Clinical Considerations
Obtain pertinent history
Gestational age
Prior complications
Parity/Gravidity
Nuchal Cord?
Cord wrapped around
newborn’s neck
Try to unwrap cord, or
carefully cut, clamp,
unwrap, and continue
with delivery.
Follow appropriate protocol
Rapid Transport