2Cognitive Objectives6-1.1 Identify the following structures: birth canal, placenta, umbilical cord, amniotic sac.6-1.2 Define the following terms: crowning, bloody show, labor, abortion.6-1.3 State indications of an imminent delivery.6-1.4 State the steps in the pre-delivery preparation of the mother.(1 of 2)
3Cognitive Objectives6-1.5 Establish the relationship between body substance isolation and childbirth.State the steps to assist in the delivery.6-1.7 Describe care of the baby as the head appears.6-1.8 Discuss the steps in delivery of the placenta.6-1.9 List the steps in the emergency medical care of the mother post-delivery.Discuss the steps in caring for a newborn.(2 of 2)
4Affective ObjectivesExplain the rationale for attending to the feelings of a patient in need of emergency medical care during childbirth.Demonstrate a caring attitude toward patients during childbirth who request emergency medical services.(1 of 2)
5Affective ObjectivesPlace the interests of the patient during childbirth as the foremost consideration when making any and all patient care decisions.Communicate with empathy to patients during childbirth, as well as with family members and friends of the patient.(2 of 2)
6Psychomotor Objectives Demonstrate the steps to assist in the normal cephalic delivery.Demonstrate necessary care procedures of the fetus as the head appears.Attend to the steps in the delivery of the placenta.Demonstrate the post-delivery care of the mother.Demonstrate the care of the newborn.
7Knowledge and Attitude Objectives Explain the three stages of the labor and delivery process.Describe the equipment you should have for an emergency childbirth situation.Describe the steps in resuscitating a newborn infant.(1 of 2)
8Knowledge and Attitude Objectives Describe the steps you should take in caring for the following complications of childbirth:Unbroken bag of watersBreech birthProlapse of the umbilical cordExcessive bleeding after deliveryMiscarriageStillbornPremature birthMultiple births(2 of 2)
10ChildbirthFirst responders may be called to assist with the birth of a child.Remember that childbirth is a natural process; you are there simply to assist.
11The Female Reproductive System Ovaries: Produce eggsUterus: Holds fertilized egg as it developsFallopian tubes: Connect ovaries and uterusBirth canal (vagina): External opening(1 of 2)
12The Female Reproductive System Fetus: Developing babyUmbilical cord: Delivers nutrition and removes waste products from developing infantPlacenta: Draws nutrients from uterus which are then transported through umbilical cord(2 of 2)
14Stages of Labor Stage one Initial contractions occur, water breaks, bloody show occurs, but no crowning visibleStage twoInvolves actual delivery of babyStage threeInvolves delivery of placenta (afterbirth)
15Key Questions Has the woman had a baby before? Has the woman experienced a bloody show?Has the bag of waters broken?How frequent are the contractions?(1 of 2)
16Key Questions Does the woman feel an urge to move her bowels? Is the baby’s head crowning?Is transportation available?(2 of 2)
17Preparation for Delivery Wash your hands thoroughly.Place a towel or sheet under the woman.Have plenty of towels on hand.Place the woman in a comfortable position (often on back with knees bent and legs drawn up and apart).
19BSI and Childbirth BSI techniques should be used during delivery. Try to avoid getting blood and fluids on you.Use sterile gloves whenever possible.
20Equipment for Delivery Sterile glovesSterile drapes and towels4 x 4 gauze padsBulb syringeUmbilical cord clampSanitary padsTowel or blanket for baby
21Assisting With Delivery Have the woman lie on her back with her knees drawn up and apart.Tell the mother to breathe rapidly.Do not attempt to pull the baby during delivery.(1 of 2)
22Assisting With Delivery In a normal birth, the baby will turn to its side by itself after the head emerges.(2 of 2)
23Caring for the Newborn Clear mouth and nose. Dry infant with towel. Wrap child to keep warm.Place infant on side with head slightly lower than trunk.
24Suctioning to Clear the Newborn’s Airway Suctioning the mouthSuctioning the nose
25Aftercare of the Mother Observe mother and baby.Recheck firmness of uterus.Recheck vagina for excessive bleeding.Clean mother with towels.Cover vaginal opening.
26Aftercare of the Newborn The newborn infant should:Breathe at a rate greater than 40 breaths per minute.Begin crying right after birth.Have a pulse greater than 100 beats per minute.
27Resuscitating the Newborn Tilt the infant’s head down.Suction the mouth and nose.Begin mouth-to-mouth-and-nose breathing.(1 of 2)
28Resuscitating the Newborn Check for a brachial pulse.If you cannot feel a brachial pulse, begin closed-chest cardiac compressions.Continue CPR.(2 of 2)
29Automobile CrashesPregnant women involved in auto crashes should be examined by physician.Promptly assess and transport.Treat for shock.Have woman lie on her left side to relieve pressure on uterus.
30Childbirth Complications Unbroken bag of watersBreech birthProlapse of the umbilical cordExcessive bleeding after deliveryMiscarriageStillborn deliveryPremature birthMultiple births
31Breech Birth Arrange for prompt transport. Support baby as it is delivered.Use your fingers to keep baby’s airway open by forming a pocket over the infant’s nose and mouth.
32Prolapse of Umbilical Cord Umbilical cord comes out of the vagina before the baby is born.A serious emergency that requires rapid transportProp the mother’s hips and legs higher than the rest of her body.Keep cord covered and moist.
33Premature BirthAny baby weighing less than 5 1/2 pounds or delivered before 37 weeksKeep premature babies warm.Arrange for prompt transport.