1. Module 6-1 Childbirth

2. Reproductive Anatomy and Physiology Delivery Initial care of the newborn Post delivery care of mother

3. Childbirth Reproductive Anatomy, Physiology, and Terminology.

4. Anatomy of Pregnancy

5. Childbirth Crowning: the bulging out of the vagina which is opening as the fetus’s head or presenting part presses against it.

6. Crowning

7. Childbirth “Bloody show”: mucus and blood that may come out of the vagina as labor begins.

8. Childbirth Labor: the time and process beginning with the first uterine muscle contraction until delivery of the placenta.

9. First Stage

10. Second Stage

11. Third Stage

12. Childbirth Abortion (miscarriage): delivery of the products of conception early in pregnancy.

13. Childbirth Delivery

14. Is Delivery Imminent? What is the due date? Any bleeding or discharge? Does the patient feel as if she is having a bowel movement with increasing pressure. If yes, examine for crowning.

15. If Crowning, Prepare for Delivery Use body substance isolation. DO NOT let mother go to the bathroom. DO NOT hold mother’s legs together. DO NOT touch vaginal areas except during delivery.

16. If the head is not the presenting part Tell the mother not to push. Update responding EMS resources. Calm and reassure the mother. Complicated Delivery

17. Position mother.

18. OB Kit

19. Supporting Baby’s Head

20. Head Delivers

21. Suction mouth, nose.

22. Delivery of Shoulders

23. Chest Delivers

24. Legs and Feet Deliver

25. Cutting the Cord

26. Cutting Umbilical Cord

27. Re-suction airway.

28. Dry infant.

29. Newborn with Mother

30. Delivery of Placenta

31. Delivery of Placenta (continued)

32. Vaginal Bleeding Up to 300 - 500 ml blood loss is well tolerated by the mother following delivery. With continued blood loss massage the uterus.

33. Fundal Massage

34. Childbirth Initial Care of the Newborn

35. Assessment of Infant Pulse - greater than 100/min. Can be assessed at the umbilical cord Respiratory status > 40 / minute The most important care is to position, dry, keep warm and stimulate the newborn to breathe.

36. Back Rub

37. Flick soles of feet.

38. Respiratory Distress Ensure open and patent airway. Ventilate at 40 / minute. If heart rate is less than 80 per minute, a second rescuer should perform chest compressions. Reassess after one minute.

39. Childbirth Post Delivery Care of the Mother

40. Post Delivery Care of Mother Keep contact with mother throughout the process. Replace any blood soaked sheets and blankets while awaiting transport. Monitor respirations and pulse.