CHILDBIRTH
ALL LEVELS
DESIGNATION OF CONDITION
Determining imminent birth may include: regular contractions lasting 45 - 60 seconds at 1-2 minutes intervals; crowning occurs; patient feels the urge to bear down or feels she needs to have a bowel movement.
EMPHASIS ON PATIENT CARE
Pre-delivery: Treat the child by treating the mother.
Post-delivery: Maintain warmth and adequate respirations for the baby.
a. Primary Management - Assess ABC’s and manage as indicated.
b. Secondary Management - History, physical exam, vital signs
c. If delivery is not imminent transport left lateral recumbent.
a. Normal childbirth is not an emergency and usually does not warrant emergent transport.
d. Obtain medical and obstetrical history including:
a. Due date (EDC)
b. When did contractions start, how close, bleeding, and does she feel the need to push.
c. Previous or present illness, cardiac problems, diabetes, etc.
d. Number of pregnancies, live births, and miscarriages (gravida, para, and abortions).
e. Patient's age
f. Last menstrual period (LMP)
g. Complications of prior pregnancies, deliveries, prior C-section.
h. Summary of prenatal care
i. Use of drugs (prescribed and recreational)
2. If birth is imminent and the following conditions present, contact medical control for delivery instructions:
a. Multiple births
b. Excessive bleeding
c. Breech presentation
d. Meconium
3. Consider rapid transport and ALS intercept for the following (see Emergency Childbirth Complications):
a. Limb presentations
b. Transverse presentation
c. Unlikely to deliver vaginally
ALL LEVELS
DESIGNATION OF CONDITION
Determining imminent birth may include: regular contractions lasting 45 - 60 seconds at 1-2 minutes intervals; crowning occurs; patient feels the urge to bear down or feels she needs to have a bowel movement.
EMPHASIS ON PATIENT CARE
Pre-delivery: Treat the child by treating the mother.
Post-delivery: Maintain warmth and adequate respirations for the baby.
a. Primary Management - Assess ABC’s and manage as indicated.
b. Secondary Management - History, physical exam, vital signs
c. If delivery is not imminent transport left lateral recumbent.
a. Normal childbirth is not an emergency and usually does not warrant emergent transport.
d. Obtain medical and obstetrical history including:
a. Due date (EDC)
b. When did contractions start, how close, bleeding, and does she feel the need to push.
c. Previous or present illness, cardiac problems, diabetes, etc.
d. Number of pregnancies, live births, and miscarriages (gravida, para, and abortions).
e. Patient's age
f. Last menstrual period (LMP)
g. Complications of prior pregnancies, deliveries, prior C-section.
h. Summary of prenatal care
i. Use of drugs (prescribed and recreational)
2. If birth is imminent and the following conditions present, contact medical control for delivery instructions:
a. Multiple births
b. Excessive bleeding
c. Breech presentation
d. Meconium
3. Consider rapid transport and ALS intercept for the following (see Emergency Childbirth Complications):
a. Limb presentations
b. Transverse presentation
c. Unlikely to deliver vaginally