Histology of Epithelium - Dr Muhammad Ali Rabbani - Medicose Academics
Emt childbirth
1. A lecture about where babies come from
Richard Beebe MS RN NRP
2. To be able to handle a routine vaginal
delivery in an emergent situation.
To recognize that over 90% of
pregnancies end in a normal term
delivery and that we as healthcare
workers are there to assist something
that has been going on for millions of
years.
To be able to recognize potential
complications of pregnancy and delivery
and be able to administer commonly
accepted measures to alleviate the
complications.
5. 40 weeks in length
37 - 42 Weeks
3 trimesters
Average weight
6.6 to 7.9 pounds
A missed period is the usual first clue
11% of women who say there is “no way” they
could be pregnant actually are..
8. As the uterus
grows it rises
up out of the
pelvis.
At approx. 12
weeks the
uterus “clears”
the pelvis
20 weeks =
belly button
37 weeks = just
under xiphoid
process.
9. Are you pregnant?
How far along are you?
How far apart are the contractions?
Any bleeding or discharge? Show?
PROM?
Do you feel pressure between your legs?
How many times have you been pregnant
before?
How fast were your previous babies
11. Always give high
flow oxygen
Baseline Vital Signs
History and Physical
Put mom on side if
delivery is not
imminent*
Locate the OB
delivery kit
12. The pregnant uterus acts like a tourniquet to
the vena cava and restricts blood from
returning back to the heart.
Treatment: flip them on their side.
(preferably left side with high flow oxygen.
13. Starts out at a
rate of 180 in the
1st trimester
After 12 weeks,
the rate drops to
120-160.
Any rate less than
120 signals
distress.
15. A few clean towels,
blankets, shirts, etc.
clean string
clean sturdy scissors
or a knife
a clean trash bag
Some gauze pads to
wipe out the mouth
Prayer
16. check for crowning
Get your already located OB kit/supplies out.
if you have time, place some folded towels
underneath mom’s pelvis with a clean plastic
bag opened up and tucked underneath her
buttocks.
Have your assistant set up another bed/cot near
the mom and prepare for baby care.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27. Position, Dry, Wrap ‘em up. Keep them
warm.
Keep them level with mom’s body. Keep
warm.
Check sugar if lethargic or SGA or LGA.
Repeat suctioning as needed, keep warm.
Note the time of birth and if mobile the
county baby was born in.
Assess the infant, obtain APGAR’s, keep
warm
Stimulate if not perking up.
32. The uterus cannot
“clamp down” to
control bleeding.
Fundal massage is
first choice
treatment to coax
the uterus to firm
up.
33. Explain to mom that this will be uncomfortable,
similar to a bad menstrual cramp, but that it
MUST be done or she can bleed to death.
With your hand flat and perpendicular to the
belly, press down anterior to posterior just
above the umbilicus until you feel a “ridge” rise
up. This “ridge” is the fundus. Begin rubbing the
fundus and moving down toward the pubic
symphysis until it you no longer see clots and
“gushes” from the vagina.
34.
35.
36. Condition where the cord presents through the
birth canal before the head.
Life Threatening to baby.
Requires aggressive interventions.
Knee Chest or ??
37.
38.
39.
40.
41.
42.
43.
44. “Turtle Sign”
High Flow 02
Flex mom’s legs as
far back as possible
firm pressure just
above the pubic
bone
Editor's Notes
The uterus turns inside out. Risk factors: magnesium sulfate, multiple pregnancies, pregnancy with multiples, tugging on the cord/placenta before it is ready to break away. Occurs 2:1000 deliveries Bloody, meaty red bulge hanging out of perineum. Life Threatening
Administer Tocolytics (NTG, Mag Sulfate, or terbutaline) make a fist and place in center of the uterine fold Make one firm push to reduce the uterus back up. Requires your fist to enter into the vagina. After the uterus is successfully replaced, administer a pitocin drip to help it firm up.
