Trauma In Pregnancy
Section 7 - PEDIATRIC / OBSTETRICAL
7.12 Trauma in Pregnancy
INITIAL TRAUMA CARE PRACTICE PARAMETER ( with BVM. . Check for uterine contractions, vaginal bleeding and / or leaking amniotic fluid. Assess for fetal movements. . Raise right side of backboard approximately 30 degrees. . If hypotension / shock present, refer to SHOCK PRACTICE PARAMETER (5.13). . If patient in labor refer to the EMERGENCY CHILDBIRTH PRACTICE PARAMETERS (7.06). EMERGENCY C-SECTION . Maternal health and well being should not be compromised to save a fetus of any gestational age. . Emergency C-Section should only be considered when maternal death has verified and is determined to be irreversible . Trauma that cannot support life accompanied by a rhythm that cannot support life. . Trauma with ASYSTOLE ( . “Injuries and rhythm that is inconsistent . Fetus viability- 24 weeks gestational age or greater. . For optimal survival C- . Assess fetal heart tones if possible . Prepare Equipment- OB kit, trauma pads, and infant resuscitation equipment. . Locate anatomical landmarks for incision . Using a scalpel, perform vertical incision midline between . Cut through each layer of the abdominal wall with the scalpel and/or scissors. . Lift skin and pull apart working through the layers . Using the scalpel make initial incision in the uterus. . Using scissors cut the uterine wall. . Remove neonate, . Suction the neonate’s airway. . Double clamp the cord . Keep the infant lower than the mother. . Wait for the cord to stop pulsating, . Record APGAR at 1 and 5 minutes. Transport to the appropriate facility. EMERGENCY MEDICAL SERVIC Page 1 of 1 - PEDIATRIC / OBSTETRICAL 7.12 TRAUMA IN PREGNANCY 2.02) OXYGEN @ 100% via NRB mask or assist abor irreversible. 4.02) or No vitals with ASYSTOLE. (4.02) with life.” -Section should be performed within 4 minutes of maternal dea incision-Xiphoid Process and Pubis between-Xiphoid note the time of birth. and 36 weeks 28 weeks 20 weeks GENCY SERVICES 2009 been death. Process and Pubis. then cut it. �
