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Chapter Obstetrics and Gynecology Twenty
Chapter ,[object Object],[object Object],[object Object],[object Object],[object Object],Twenty CORE CONCEPTS
Anatomy of Pregnancy
P REDELIVERY EMERGENCIES
[object Object],[object Object],[object Object],[object Object],Miscarriage (Spontaneous Abortion)
[object Object],[object Object],[object Object],oxygen. ,[object Object],Seizures during Pregnancy
C HILDBIRTH
Childbirth Delivery Kit
[object Object],[object Object],[object Object],[object Object],[object Object],(Continued) Predelivery Evaluation
[object Object],[object Object],[object Object],[object Object],Predelivery Evaluation
[object Object],[object Object],[object Object],[object Object],Transport Decision
[object Object],[object Object],[object Object],[object Object],(Continued) Delivery Precautions
[object Object],[object Object],[object Object],[object Object],on field delivery. Delivery Precautions
[object Object],[object Object],[object Object],[object Object],[object Object],(Continued) Delivery Procedures
[object Object],[object Object],(Continued) Delivery Procedures
Create sterile field around vaginal opening.
Crowning of Infant’s Head Prevent explosive delivery of the head.
[object Object],[object Object],(Continued) Delivery Procedures
Suction mouth,  then nose. Aid in birth of  upper shoulder.
Support the trunk. Support the legs.
[object Object],[object Object],[object Object],[object Object],head lower than trunk. (Continued) Delivery Procedures
[object Object],[object Object],Delivery Procedures (Continued)
Clamp or tie cord; then cut.
[object Object],[object Object],Delivery Procedures
Delivering the Placenta
[object Object],[object Object],[object Object],(Continued) After-Delivery Procedures
[object Object],Vaginal Bleeding ,[object Object],[object Object],After-Delivery Procedures
Massage uterus to control bleeding.
C ARE OF THE NEWBORN
[object Object],[object Object],[object Object],(Continued) Care of the Newborn
Suctioning the Newborn
= = = = = A P G A R  Color: No central cyanosis  Greater than 100/minute Vigorous and crying Good extremity motion Normal, crying Normal Assessment Findings  —  Newborn A ppearance Pulse Grimace Activity Respiratory effort
R ESUSCITATION OF THE NEWBORN
Inverted Pyramid of Neonatal  Resuscitation Resuscitation of the Newborn
Stimulating the Newborn to Breathe
[object Object],[object Object],[object Object],[object Object],[object Object],Breathing Effort
Heart Rate ,[object Object],[object Object],[object Object],[object Object],(Continued)
Heart Rate ,[object Object],[object Object],[object Object],(Continued)
Heart Rate If at any time the heart rate is less than  60 , begin ventilations and compressions immediately.
Color If central (trunk) cyanosis is present with adequate breathing and heart rate, administer  blow-by oxygen.
Tell new EMT-Bs that it is not uncommon to find patients and family members very nervous.  This  will make the patient exam and decision making very difficult.  The patient or her family may want to rush to the hospital, or they may feel that there just isn’t enough time. Encourage new EMT-Bs to carefully  and objectively examine the patient and history as the basis for a transport decision.  Assure the patient and family that you are equipped to evaluate the situation and handle delivery at home or in the ambulance. P RECEPTOR  P EARL
A BNORMAL DELIVERIES
Abnormal Delivery: Prolapsed Cord
Patient  CARE Prolapsed Cord Emergency Care Steps ,[object Object],[object Object],[object Object],(Continued)
Patient  CARE Prolapsed Cord Emergency Care Steps ,[object Object],[object Object]
Care for Prolapsed Cord
A BNORMAL DELIVERY: BREECH PRESENTATION
Patient  ASSESSMENT Breech Presentation Signs and Symptoms ,[object Object],[object Object]
Patient  CARE Breech Presentation Emergency Care Steps ,[object Object],[object Object],[object Object]
Abnormal Delivery: Limb Presentation
Patient  ASSESSMENT Limb Presentation Signs and Symptoms ,[object Object]
Patient  CARE Limb Presentation Emergency Care Steps ,[object Object],[object Object],[object Object]
Patient  ASSESSMENT Meconium Signs and Symptoms ,[object Object],indicates presence of fecal matter. ,[object Object]
Patient  CARE Meconium Emergency Care Steps ,[object Object],[object Object],[object Object],[object Object],[object Object]
C OMPLICATIONS OF CHILDBIRTH
Complications of Childbirth ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Multiple Births
[object Object],[object Object],[object Object],Premature Births
G YNECOLOGICAL EMERGENCIES
[object Object],[object Object],[object Object],[object Object],Vaginal Bleeding (Late in Pregnancy)
[object Object],[object Object],[object Object],[object Object],Trauma–External Genitalia
[object Object],[object Object],[object Object],(Continued) Sexual Assault
[object Object],[object Object],[object Object],Sexual Assault
1. Describe how to deal with predelivery    emergencies.  2. List three abnormal deliveries and how    they are handled in the field. 3. How should sexual assault be managed    in the field?  R EVIEW QUESTIONS

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