Childbirth    andGynecologicEmergencies
Childbirth      andGynecologicEmergencies By Steph HammondClass-EMS 110/81
This slide show                                               Choosing this subject              explains:                ...
As a first-aider you should know...
As a first-aider you should know...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe ce...
Stages Of Birth
Stages Of Birth
Stages Of Birth       3D video of the 3 stages of labor       http://www.babycenter.com/2_inside-pregnancy-labor-and-birth...
Stages Of Birth                                   3D video of the 3 stages of laborStage 1: Early/Active Labor            ...
Stages Of Birth                                   3D video of the 3 stages of laborStage 1: Early/Active Labor            ...
Stages Of Birth                                   3D video of the 3 stages of laborStage 1: Early/Active Labor            ...
Gynecologic Emergencies  What to do and what they are.
Placenta Abruption
Placenta Abruption
Placenta Abruption-Placental abruption occurs when the placentapeels away from the inner wall of the uterusbefore birth.
Placenta Abruption                            Prolapsed Cord-Placental abruption occurs when the placentapeels away from t...
Placenta Abruption                            Prolapsed Cord-Placental abruption occurs when the placentapeels away from t...
Placenta Abruption                               Prolapsed Cord-Placental abruption occurs when the placentapeels away fro...
Placenta Abruption                                       Prolapsed Cord         Emergency                                 ...
Breech & Limb Presentation-if your baby is breech, it means hes poised to                        come out buttocks or feet...
Breech & Limb Presentation-if your baby is breech, it means hes poised to                        come out buttocks or feet...
Meconium Emergency
Meconium Emergency  This emergency is baby’s first feces (bowl movement) and can be                     present in the amn...
Other Emergencies
Other EmergenciesPre-clampsia- is a serious complication of pregnancy associated with the     development of high blood pr...
Other Emergencies Pre-clampsia- is a serious complication of pregnancy associated with the       development of high blood...
Other Emergencies  Pre-clampsia- is a serious complication of pregnancy associated with the        development of high blo...
Other Emergencies   Pre-clampsia- is a serious complication of pregnancy associated with the         development of high b...
Immediate Child Birth
Immediate Child Birth  Always reassure the mother she and the baby is ok!  •Place her on her left side for it prevents dro...
If to late and baby is coming sooner, you will       need a list of items to perform             a emergency birth.•Clean ...
In any emergency Call a ambulance and/or get the Mother to the Hospital IMMEDIATELY!         If to late and baby is coming...
Questions to ask in Immediate delivery and others                               to take into consideration.   Transport mo...
Home-births                                                                        ConsProsFreedom to control your own bir...
Click                                                          for                                                        ...
Sources                EMS Class Bookhttp://pregnancy.doctissimo.com- Information & Images     http://pregnancy.com- Infor...
Ems birth slideshow FINISHED COPY
Ems birth slideshow FINISHED COPY
Ems birth slideshow FINISHED COPY
Ems birth slideshow FINISHED COPY
Ems birth slideshow FINISHED COPY
Ems birth slideshow FINISHED COPY
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  • Ems birth slideshow FINISHED COPY

    1. 1. Childbirth andGynecologicEmergencies
    2. 2. Childbirth andGynecologicEmergencies By Steph HammondClass-EMS 110/81
    3. 3. This slide show Choosing this subject explains: was close to me, I am 32 weeks pregnant and due to deliver October 8/16.Key Terms and the stages of birth, along with emergencies I wanted to educate my self more on what will happen with the and how to take care of them, labor process, and my options and signs to look for in case and also home-births, and a brief explanation of a Doula. of a emergency.This well educate you in how labor is and signs to look for in I’m having a boy who we are naming Oskar L.J. Hammond a emergency as a first aider and a civilian. and this is our first child :O) I will tell you now... This has been one crazy adventure so far and life changing for my husband and I. I hope you all enjoy my slide show :O)
    4. 4. As a first-aider you should know...
    5. 5. As a first-aider you should know...
    6. 6. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulva
    7. 7. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulvaCervix -the lower part of the uterus that extends into the vagina.
    8. 8. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulvaCervix -the lower part of the uterus that extends into the vagina.Placenta -lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.
    9. 9. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulvaCervix -the lower part of the uterus that extends into the vagina.Placenta -lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Umbilical Cord-lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.
    10. 10. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulvaCervix -the lower part of the uterus that extends into the vagina.Placenta -lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Umbilical Cord-lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Amniotic Sac-A two-layered membrane that surrounds the embryo or fetus in the uterus.The amniotic sac is filled with fluid in which the embryo or fetus is suspended.
    11. 11. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulvaCervix -the lower part of the uterus that extends into the vagina.Placenta -lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Umbilical Cord-lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Amniotic Sac-A two-layered membrane that surrounds the embryo or fetus in the uterus.The amniotic sac is filled with fluid in which the embryo or fetus is suspended.Crowning -to reach a stage in delivery where the largest diameter of the fetal head isemerging from the pelvic outlet.
    12. 12. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulvaCervix -the lower part of the uterus that extends into the vagina.Placenta -lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Umbilical Cord-lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Amniotic Sac-A two-layered membrane that surrounds the embryo or fetus in the uterus.The amniotic sac is filled with fluid in which the embryo or fetus is suspended.Crowning -to reach a stage in delivery where the largest diameter of the fetal head isemerging from the pelvic outlet.Labor -the process or effort of childbirth or the time during which this takes place.
    13. 13. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulvaCervix -the lower part of the uterus that extends into the vagina.Placenta -lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Umbilical Cord-lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Amniotic Sac-A two-layered membrane that surrounds the embryo or fetus in the uterus.The amniotic sac is filled with fluid in which the embryo or fetus is suspended.Crowning -to reach a stage in delivery where the largest diameter of the fetal head isemerging from the pelvic outlet.Labor -the process or effort of childbirth or the time during which this takes place.Bloody Show-The Mucus that and blood that might discharge from the Vagina beforethe first stages of labor.
    14. 14. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulvaCervix -the lower part of the uterus that extends into the vagina.Placenta -lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Umbilical Cord-lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Amniotic Sac-A two-layered membrane that surrounds the embryo or fetus in the uterus.The amniotic sac is filled with fluid in which the embryo or fetus is suspended.Crowning -to reach a stage in delivery where the largest diameter of the fetal head isemerging from the pelvic outlet.Labor -the process or effort of childbirth or the time during which this takes place.Bloody Show-The Mucus that and blood that might discharge from the Vagina beforethe first stages of labor.Contractions-one of usually a series of rhythmic tightening actions of the uterine muscles(as during menstruation or labor)
    15. 15. As a first-aider you should know...Birth Canal-The passage through which babies pass through during birth, formed bythe cervix, vagina, and vulvaCervix -the lower part of the uterus that extends into the vagina.Placenta -lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Umbilical Cord-lining of the uterus by the union of the uterine mucous membrane with themembranes of the fetus, that provides for the nourishment of the fetus and the eliminationof its waste products.Amniotic Sac-A two-layered membrane that surrounds the embryo or fetus in the uterus.The amniotic sac is filled with fluid in which the embryo or fetus is suspended.Crowning -to reach a stage in delivery where the largest diameter of the fetal head isemerging from the pelvic outlet.Labor -the process or effort of childbirth or the time during which this takes place.Bloody Show-The Mucus that and blood that might discharge from the Vagina beforethe first stages of labor.Contractions-one of usually a series of rhythmic tightening actions of the uterine muscles(as during menstruation or labor)
    16. 16. Stages Of Birth
    17. 17. Stages Of Birth
    18. 18. Stages Of Birth 3D video of the 3 stages of labor http://www.babycenter.com/2_inside-pregnancy-labor-and-birth_3658872.bc
    19. 19. Stages Of Birth 3D video of the 3 stages of laborStage 1: Early/Active Labor http://www.babycenter.com/2_inside-pregnancy-labor-and-birth_3658872.bc• Early Labor is when contractions are coming at relatively regular intervals and the cervix begins to progressively dilate and efface, Meaning labor has started and there is a baby on the way!• Active labor is when things really get rolling! Contractions become more frequent, longer, and stronger for the woman. The cervix begins dilating more quickly, going from about 4 to 10 centimeters.• Transition-The last part of active labor -- when the cervix dilates from 8 to a full 10 centimeters -- is called the transition period because it marks the shift to the second stage of labor.
    20. 20. Stages Of Birth 3D video of the 3 stages of laborStage 1: Early/Active Labor http://www.babycenter.com/2_inside-pregnancy-labor-and-birth_3658872.bc• Early Labor is when contractions are coming at relatively regular intervals and the cervix begins to progressively dilate and efface, Meaning labor has started and there is a baby on the way!• Active labor is when things really get rolling! Contractions become more frequent, longer, and stronger for the woman. The cervix begins dilating more quickly, going from about 4 to 10 centimeters.• Transition-The last part of active labor -- when the cervix dilates from 8 to a full 10 centimeters -- is called the transition period because it marks the shift to the second stage of labor. Stage 2: Pushing Once the cervix is fully dilated, the work of the second stage of labor begins: the final descent and birth of of a baby. At the beginning of the second stage, contractions may be a little further apart, giving the woman the chance for a much- needed rest between them. This Stage last until the baby is fully born.
    21. 21. Stages Of Birth 3D video of the 3 stages of laborStage 1: Early/Active Labor http://www.babycenter.com/2_inside-pregnancy-labor-and-birth_3658872.bc• Early Labor is when contractions are coming at relatively regular intervals and the cervix begins to progressively dilate and efface, Meaning labor has started and there is a baby on the way!• Active labor is when things really get rolling! Contractions become more frequent, longer, and stronger for the woman. The cervix begins dilating more quickly, going from about 4 to 10 centimeters.• Transition-The last part of active labor -- when the cervix dilates from 8 to a full 10 centimeters -- is called the transition period because it marks the shift to the second stage of labor. Stage 2: Pushing Once the cervix is fully dilated, the work of the second stage of labor begins: the final descent and birth of of a baby. At the beginning of the second stage, contractions may be a little further apart, giving the woman the chance for a much- needed rest between them. This Stage last until the baby is fully born.Stage 3: Delivery of the PlacentaMinutes after birth, the uterus begins to contract again. The first few contractions usuallyseparate the placenta from the uterine wall. A couple more pushes from the woman and theplacenta is delivered, And the Labor process is over.
    22. 22. Gynecologic Emergencies What to do and what they are.
    23. 23. Placenta Abruption
    24. 24. Placenta Abruption
    25. 25. Placenta Abruption-Placental abruption occurs when the placentapeels away from the inner wall of the uterusbefore birth.
    26. 26. Placenta Abruption Prolapsed Cord-Placental abruption occurs when the placentapeels away from the inner wall of the uterusbefore birth.
    27. 27. Placenta Abruption Prolapsed Cord-Placental abruption occurs when the placentapeels away from the inner wall of the uterusbefore birth.
    28. 28. Placenta Abruption Prolapsed Cord-Placental abruption occurs when the placentapeels away from the inner wall of the uterusbefore birth. -In a prolapse, the umbilical cord drops (prolapses) through the open cervix into the vagina ahead of the baby.
    29. 29. Placenta Abruption Prolapsed Cord Emergency EmergencyIn most cases, youll have some vaginal bleeding, The cord can be seen before the baby’s head,ranging from a small amount to an obvious and cord is prolapsed.sudden gush. Sometimes, though, the blood stays 1) position the mother with her head down orin the uterus behind the placenta, so you might not buttocks raised to use gravity to lesson in thesee any bleeding at all. birth canal.Most women will have some uterine tenderness or 2)Insert fingers with a gloved hand into vagina,back pain. And in close to a quarter of cases, an placing fingers on either side of the prolapsedabruption will cause the woman to go into labor cord to hold pressure from the presenting partprematurely. (most often the head) of the fetus away from the pulsating cod. Continue until EMS arrive. DOIMMEDIATELY TAKE NOT PUSH CORD BACK IN!MOTHER TO HOSPITAL! 3) CALL 911 IMMEDIATELY!
    30. 30. Breech & Limb Presentation-if your baby is breech, it means hes poised to come out buttocks or feet first.
    31. 31. Breech & Limb Presentation-if your baby is breech, it means hes poised to come out buttocks or feet first. In breech position if baby’s head is not delivered within 3 minutes of the body, YOU MUST act to prevent suffocation of the baby. Suffocation will occur when the face is pressed against the vaginal wall. 1)Place one hand on the vagina, positioning the palm toward the baby’s face. 2) Form a V with your fingers on either side of the baby’s nose. 3)Push vaginal wall away from baby’s face until head is delivered. 4) Have someone call 911 IMMEDIATELY 4) Have mother continue to push with contractions and attempt to deliver the baby
    32. 32. Meconium Emergency
    33. 33. Meconium Emergency This emergency is baby’s first feces (bowl movement) and can be present in the amniotic fluid.It is dangerous for the baby’s to breath it into lungs and is associated with fetal distress.When recognizing this condition it is greenish/brownish rather than clear and tarry and almost colorless.1) Keep infant moderately head down position to help with drainage.2) Suction mouth and nose throughly, to prevent baby from inhaling the meconium. Try not to stimulate baby to breath before suction. 3)Maintain a open airway.
    34. 34. Other Emergencies
    35. 35. Other EmergenciesPre-clampsia- is a serious complication of pregnancy associated with the development of high blood pressure and protein in the urine.
    36. 36. Other Emergencies Pre-clampsia- is a serious complication of pregnancy associated with the development of high blood pressure and protein in the urine.Cervical Incompetence-is a weakness of the cervix, which may result in a late miscarriage.
    37. 37. Other Emergencies Pre-clampsia- is a serious complication of pregnancy associated with the development of high blood pressure and protein in the urine.Cervical Incompetence-is a weakness of the cervix, which may result in a late miscarriage.Ectopic Pregnancy-a fertilized egg becomes implanted in tissues outside the uterus instead of in the uterine lining.
    38. 38. Other Emergencies Pre-clampsia- is a serious complication of pregnancy associated with the development of high blood pressure and protein in the urine. Cervical Incompetence-is a weakness of the cervix, which may result in a late miscarriage.Ectopic Pregnancy-a fertilized egg becomes implanted in tissues outside the uterus instead of in the uterine lining.Placenta Praveia- the placenta is implanted lower down in the uterus and closer to the cervix than is normal.
    39. 39. Immediate Child Birth
    40. 40. Immediate Child Birth Always reassure the mother she and the baby is ok! •Place her on her left side for it prevents drops in blood pressure. •Woman whom have had another pregnancy has shorter labors usually. •Time the contractions... If they are 5 minutes apart or more then there is enough time to get mother to the hospital. •Labor will proceed rapidly after the water has broke (amniotic sac). •Does the Mother feel the need to push? If so that indicates the delivery is immediate.
    41. 41. If to late and baby is coming sooner, you will need a list of items to perform a emergency birth.•Clean sheets, plastic bag (for placenta)•Clean and sterile medical gloves•Sanitary pads•Newspaper or plastic to place under mother during delivery•Rubber sucker to clean babies mouth and nose•Strips of gauze•clean pair of shoe laces•Blankets & towels
    42. 42. In any emergency Call a ambulance and/or get the Mother to the Hospital IMMEDIATELY! If to late and baby is coming sooner, you will need a list of items to perform a emergency birth. •Clean sheets, plastic bag (for placenta) •Clean and sterile medical gloves •Sanitary pads •Newspaper or plastic to place under mother during delivery •Rubber sucker to clean babies mouth and nose •Strips of gauze •clean pair of shoe laces •Blankets & towels
    43. 43. Questions to ask in Immediate delivery and others to take into consideration. Transport mother to the hospital if she is not straining or If this is the mothers first baby it could possibly take 12 hours to crowning. deliver. ONLY when she is crowning does a first aider begin to (outside the hospital a first aider cannot safely check dilation of perform child birth while waiting for the EMT. the cervix. Dilation is the cervix opening in go’s from 1-10) Always ask these questions • Has the woman had a baby before? -Labor with 1st pregnancy is usually longer. • How frequent are contractions? -Contractions more the 5 min apart gives you enough time to get to hospital. -Contractions 2 min or less apart is a signal of immediate delivery • Has the amniotic sac ruptured? -Labor proceeds more rapidly after water has broke. • Does the Mother feel a bowel movement or that she has to push? -Indicates immediate delivery and that the baby is crown or moving down the birth canal.
    44. 44. Home-births ConsProsFreedom to control your own birth experience is maintained Not all insurance companies pay for home birth expensesInvolves no hospital fee, and midwives fees are usually much lower thanphysicians Spirituality of the birth experience can be a priorityEnvironment is safe, warm, and inviting, making relaxation easier and labor go Filing for birth certificate is parents responsibility,smoother although some midwives do thisMother and baby have already developed antibodies to any germs found in the Complications can result if caregivers do not knowhome, so they pose little threat to mother and child what to do in an emergencyMother can eat, drink, and move around as she chooses Arrangements for hospital care can sometimes be made in advance in case complications occurInfants birth experience can be enhanced through lowered noise level, lowered In case of emergency, there may be a delay in receivinglighting, and water birth if desired care as you transport to the hospitalChildren can be present at birth if desired Responsibility for safe birth rests with parentsNo separation of mother from infantFather or partner can have as active a role as he wants in the birth, can even"catch" the babyMother can give birth totally unassisted if she chooses to
    45. 45. Click for short video http://youtube/4DgLf8hHMgo Personal thought on Home-births: I have friends that have chosen to have their babies at home and they have all been totally Fine. Right now, I have another friend who is having her first baby and chose to have him also at home. Me personally, would of loved to do it at home, BUT I feel safer at the hospital with this being my first child. The first lady I mentioned above is my Doula :O). A Doula is a person who provides support for a woman inlabor by encouraging her to use techniques learned in childbirth-preparation classes. She is also attending to gether Midwifery degree, to do home births. I think it is perfectly ok to have babies at home, as long as you know your self, your labors and if the baby is capable of doing a home birth. I think if this is a decision to take into consideration the you as a parent need to research the Midwife, Make sure they have EVERYTHING andALL knowledge to perform a home delivery. Also, there is always a birthing center too, which is a very relaxing andyou can do water births, and have a baby at your own natural state. Usually birthing centers are located next, in, or very close to the hospital.
    46. 46. Sources EMS Class Bookhttp://pregnancy.doctissimo.com- Information & Images http://pregnancy.com- Information & Images OB Nurse from Hillsdale Hospital Google Images http://www.unhinderedliving.com/home.html Movie- The business of being born (Homebirth VS Hospital) My Doula (home births) And Josh’s Personal Experience.

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