Procedure 27 - Treatment: Childbirth

What clinical indication requires the childbirth procedure?

Imminent delivery with crowning.

How should delivery of the infant proceed?

Slow and controlled, to prevent injury to both the mother and infant.

What should be avoided when supporting the infant's head as it presents?

Direct pressure over the fontanels.

What should be checked regarding the umbilical cord during delivery?

Whether it is surrounding the neck.

What should be done if the umbilical cord is around the neck and can be freed?

Slip it over the head.

What should be done if the umbilical cord cannot be freed from the neck?

Double clamp the cord and cut between the clamps.

How is the newborn's airway suctioned, and in what order?

With a bulb syringe, starting with the mouth first, then the nares.

How should the head be grasped to deliver the anterior shoulder in cephalic presentation?

With hands over the infant's ears, gently pulling down.

How is the posterior shoulder delivered in cephalic presentation?

By gently pulling up on the head.

How is the remainder of the infant delivered after the shoulders?

Slowly.

How is the umbilical cord clamped after delivery?

2 inches from the infant's abdomen with two clamps, then cut between the clamps.

When should APGAR scores be recorded after childbirth?

At 1 and 5 minutes.

What protocol should be followed for care of the newborn?

The Newly Born Protocol.

How does the placenta typically deliver?

Spontaneously; do not force the placenta to deliver.

What technique may facilitate placenta delivery and decrease bleeding?

Massaging the uterus, through uterine contractions.

What should be done after delivery of the placenta?

Continue transport to the hospital.

What provider levels can perform the childbirth procedure per CFD protocol?

EMT-A, EMT-B, and EMT-P.