Childbirth Complications

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Section 7 - PEDIATRIC / OBSTETRICAL

7.07 CHILDBIRTH COMPLICATIONS

INITIAL MEDICAL CARE (2.01), OXYGEN @ 100% via NRB mask or assist with BVM.


BREECH BIRTH:

NEVER ATTEMPT TO PULL THE INFANT FROM THE VAGINA.

  • As soon as the legs are delivered, support the baby's body wrapped in a towel.
  • After the shoulders are delivered, if face down, gently elevate the legs and trunk to facilitate delivery of the head.
  • Head should deliver in 30 seconds. If NOT, reach two sterile gloved fingers into vagina to locate baby's mouth. Push vaginal wall away from baby's mouth to form an airway.
  • Apply gentle pressure to the fundus. If head does NOT deliver in 2 minutes, keep your fingers in place to maintain the airway.


PROLAPSED CORD:

  • Elevate mother's hips.
  • Place sterile gloved hand into vagina between pubic bone and presenting part with cord between two fingers to monitor cord pulsations and exert counter-pressure on presenting part.
  • Cover exposed cord with moist dressing and keep warm.

Appropriate Obstetric Receiving Facilities

  • Central Florida Regional Hospital (Seminole)
  • Florida Hospital Altamonte (Seminole)
  • Oviedo Medical Center (Seminole)
  • Winnie Palmer Hospital (Orange) Call ORMC and transport at their directive
  • Florida Hospital Orlando (Orange)
  • Winter Park Memorial (Orange)