This document provides information on assessing and managing common obstetric and gynecologic emergencies that EMTs may encounter including ectopic pregnancy, pelvic inflammatory disease, spontaneous abortion, preeclampsia, eclampsia, abruptio placentae, placenta previa, uterine rupture, emergency childbirth, breech presentation, limb presentation, prolapsed cord, meconium, and multiple births. Key steps are providing high-flow oxygen, rapid transport, addressing any hemorrhage or shock, and preparing for potential neonatal resuscitation.

1. Obstetrics/Gynecology Emergency Medical Technician - Basic

2. Female Reproductive System Uterus Cervix Vagina Urinary Bladder Rectum

3. Female Reproductive System Uterus Vagina Fallopian tube Ovary Cervix

8. Gyn Emergencies

12. Ectopic Pregnancy Lower abdominal pain or unexplained hypovolemic shock in a woman of child-bearing age equals Ectopic Pregnancy Until Proven Otherwise

34. Abruptio Placentae Third Trimester Abdominal Pain equals Abruptio Placentae until proven otherwise

35. Abruptio Placentae Hypovolemic shock out of proportion to visible bleeding equals Abruptio Placentae until proven otherwise

40. Placenta Previa A vaginal exam should NEVER be performed on a patient in the 3rd trimester with vaginal bleeding

44. Emergency Childbirth

45. Developing Fetus Placenta Amniotic Sac “Bag of waters” Umbilical cord Fetus

56. APGAR Score Determine at 1 and 5 minutes postpartum!

59. Complicated Deliveries

60. Breech Presentation

63. Limb Presentation

72. Multiple Births