Childbirth Complications

Section 7 - PEDIATRIC / OBSTETRICAL

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

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.

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.