Aliases
Labor, delivery, birth
Patient Care Goals
- Recognize imminent birth
- Assist with uncomplicated delivery of term newborn
- Recognize complicated delivery situations
- Apply appropriate techniques when delivery complication exists
Patient Presentation
Inclusion Criteria
Imminent delivery with crowning
Exclusion Criteria
- Vaginal bleeding in any stage of pregnancy [see Obstetrical/Gynecological Conditions guideline]
- Emergencies in first or second trimester of pregnancy [see Obstetrical/Gynecological Conditions guideline]
- Seizure from eclampsia [see Obstetrical/Gynecological Conditions and Eclampsia/Pre-Eclampsia guidelines]
Patient Management
Assessment:
- Signs of imminent delivery:
- Contractions
- Crowning
- Urge to push
- Urge to move bowels
- Membrane rupture
- Bloody show
Treatment and Interventions
- If patient in labor but no signs of impending delivery, transport to appropriate receiving facility
- Delivery should be controlled so as to allow a slow controlled delivery of infant – This will prevent injury to mother
- Support the infant’s head as needed
- Check for cord around the baby’s neck
- If present, slip it over the head
- If unable to free the cord from the neck, double clamp the cord and cut between the clamps
- Do not routinely suction the infant’s airway (even with a bulb syringe) during delivery
- Grasping the head with hand over the ears, gently guide head down to allow delivery of the anterior shoulder
- Gently guide the head up to allow delivery of the posterior shoulder
- Slowly deliver the remainder of the infant
- After 1-3 minutes, clamp cord about 6 inches from the abdomen with 2 clamps; cut the cord between the clamps
- If resuscitation is needed, clamp cord and cut as soon as possible
- Record APGAR scores at 1 and 5 minutes
- After delivery of infant, suctioning (including suctioning with a bulb syringe) should be reserved for infants who have obvious obstruction to the airway or require positive pressure ventilation (follow Neonatal Resuscitation guideline for further care of the infant)
- Dry and warm infant, wrap in towel and place on maternal chest unless resuscitation needed
- The placenta will deliver spontaneously, often within 5-15 minutes of the infant
- Do not force the placenta to deliver; do not pull on umbilical cord
- Contain all tissue in plastic bag and transport
- After delivery, massaging the uterus and allowing the infant to nurse will promote uterine contraction and help control bleeding
- Estimate maternal blood loss
- Treat for hypovolemia as needed
- Transport infant secured in seat unless resuscitation needed
- Keep infant warm during transport
- Most deliveries proceed without complications – If complications of delivery occur, the following are recommended:
- Shoulder dystocia – if delivery fails to progress after head delivers, quickly attempt the following
- Hyperflex mother’s hips to severe supine knee-chest position
- Apply firm suprapubic pressure to attempt to dislodge shoulder
- Apply high-flow oxygen to mother
- Transport as soon as possible
- Contact direct medical oversight and/or closest appropriate receiving facility for direct medical oversight and to prepare team
- Prolapsed umbilical cord
- Placed gloved hand into vagina and gently lift head/body off of cord
- Assess for pulsations in cord
- Maintain until relieved by hospital staff.
- Consider placing mother in prone knee-chest position or extreme Trendelenburg
- Apply high-flow oxygen to mother
- Transport as soon as possible
- Contact/transport to closest appropriate receiving facility for direct medical oversight and to prepare team
- Breech birth
- Place mother supine, allow the buttocks and trunk to deliver spontaneously, then support the body while the head is delivered
- If head fails to deliver, place gloved hand into vagina with fingers between infant’s face and uterine wall to create an open airway
- Apply high-flow oxygen to mother
- Transport as soon as possible
- Contact direct medical oversight and/or closest appropriate receiving facility for direct medical oversight and to prepare team
- The presentation of an arm or leg through the vagina is an indication for immediate transport to hospital
- Assess for presence of prolapsed cord and treat as above
- Excessive bleeding during active labor may occur with placenta previa
- Obtain history from patient
- Placenta previa may prevent delivery of infant vaginally
- C-Section needed – transport urgently
- Maternal cardiac arrest
- Apply manual pressure to displace uterus from right to left
- Treat per the Cardiac Arrest guideline for resuscitation care (defibrillation and medications should be given for same indications and doses as if non-pregnant patient)
- Transport as soon as possible if infant is estimated to be over 24 weeks’ gestation (perimortem Cesarean section at receiving facility is most successful if done within 5 minutes of maternal cardiac arrest)
- Contact direct medical oversight and/or closest appropriate receiving facility for direct medical oversight and to prepare team
- Shoulder dystocia – if delivery fails to progress after head delivers, quickly attempt the following