EMT_Ref HO Session 15 2006

EMT_Ref HO Session 15 2006 - Obstetrics and Gynecological...

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Obstetrics and Gynecological Emergencies Reproductive Anatomy and Physiology Fetus-developing unborn baby Uterus-organ in which a fetus grows, responsible for labor and expulsion of infant. The cervix is the neck of the uterus. Birth canal-vagina and lower part of the uterus Placenta-fetal organ through which fetus exchanges nourishment and waste products during pregnancy Umbilical cord-cord that is an extension of the placenta through which fetus receives nourishment while in the uterus Amniotic sac (bag of waters)-the sac that surrounds the fetus inside the uterus Vagina-lower part of the birth canal Perineum-skin area between vagina and anus, commonly torn during Delivery "Bloody show"-mucus and blood that may come out of the vagina as labor begins Crowning-the bulging-out of the vagina, which is opening as the fetus's head or presenting part presses against it Labor- the time and process beginning with the first uterine muscle contraction until delivery of the placenta. Labor can be defined as having three stages. Stage 1 Stage 2 Stage 3
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Contents of a Childbirth Delivery Kit Surgical scissors Hemostats or cord clamps Umbilical tape or sterilized cord Bulb syringe Towels Gauze sponges Sterile gloves One baby blanket Sanitary napkins Plastic bag Delivery is imminent. Normal Delivery Predelivery considerations Is this your first child? How long have you been pregnant? Are there contractions or pain? What is the frequency and duration of contractions? Any bleeding or discharge? Is crowning occurring with contractions? Do you feel as if you are having a bowel movement with increasing pressure in the vaginal area?
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Do you feel the need to push? Rock hard abdomen? Average first child labor 16 hours. If delivery is eminent with crowning prepare for emergency child birth Assist in delivery of baby Contact medical direction if problem or question. If delivery does not occur within 10 min. Contact medical control for guidance regarding transportation Delivery Precautions Use body substance isolation. Do not let the mother go to bathroom Control Scene Delivery procedures Apply gloves, masks, gown, and eye protection for infection control precautions. Have mother lie with knees drawn up and spread apart. Elevate buttocks using blankets or pillow. Create a sterile field around vaginal opening with sterile towels or paper barriers. If the amniotic sac does not break, or has not broken, use a clamp to puncture the sac and push it away from the infant's head and mouth as they appear. As the infant's head appears, determine if the umbilical cord is around the infant's neck; if it is, slip the cord over the shoulder or clamp cut, and unwrap. As the head & shoulders appear guide in a downward motion to assist in delivery.
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After the infant's head appears, support the head, suction the mouth two or three times and the nostrils. Use caution to avoid contact with the back of the mouth.
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EMT_Ref HO Session 15 2006 - Obstetrics and Gynecological...

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