{"id":140,"date":"2015-12-09T11:55:08","date_gmt":"2015-12-09T11:55:08","guid":{"rendered":"http:\/\/brooksidepress.org\/ob-ped\/?page_id=140"},"modified":"2023-08-20T22:01:49","modified_gmt":"2023-08-20T22:01:49","slug":"2-12-imminent-delivery","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-2-normal-and-emergency-childbirth\/section-iii-management-of-mother-and-newborn-during-normal-delivery-in-an-emergency-setting\/2-12-imminent-delivery\/","title":{"rendered":"2-12. IMMINENT DELIVERY"},"content":{"rendered":"<p>If all the signs are that the baby is about to be born and there is no time to get the\u00a0mother to the hospital, proceed in this manner:<\/p>\n<p>a. <strong>Preparation for Delivery<\/strong>. Prepare as follows:<\/p>\n<p style=\"padding-left: 30px;\">(1) Try to find an area of maximum privacy and cleanliness.<\/p>\n<p style=\"padding-left: 30px;\">(2) Allow another woman or the patient&#8217;s husband to be present to reassure\u00a0the patient.<\/p>\n<p style=\"padding-left: 30px;\">(3) Be calm and reassuring.<\/p>\n<p style=\"padding-left: 30px;\">(4) Position the patient on her back and place a folded sheet or drape under\u00a0her buttocks.<\/p>\n<p style=\"padding-left: 30px;\">(5) Immediately, start an IV with a liter of saline at a keep open\u00a0(TKO) rate.<\/p>\n<p style=\"padding-left: 30px;\">(6) An assistant should move to the patient&#8217;s head and be prepared to turn\u00a0her head to one side in case she vomits.<\/p>\n<p style=\"padding-left: 30px;\">(7) Make an oxygen tank and suction available.<\/p>\n<p style=\"padding-left: 30px;\">(8) Wash your hands thoroughly before you open the obstetrical kit.<\/p>\n<hr \/>\n<p><strong>ATTENTION<\/strong><\/p>\n<p><strong>If no obstetrical kit is available, make an improvised kit by gathering the following:<\/strong><\/p>\n<ul>\n<li>Plastic bag or other waterproof material.<\/li>\n<li>Clean sheets or towels (to use as drapes).<\/li>\n<li>Pan or container (to collect the placenta).<\/li>\n<li>Rubber bulb syringe (to suction the newborn and clear its airway).<\/li>\n<li>Baby blankets (to wrap the baby in).<\/li>\n<li>Material to tie or clamp the cord.<\/li>\n<li>Sanitary napkins.<\/li>\n<li>Scissors.<\/li>\n<li>Gloves (if available).<\/li>\n<\/ul>\n<hr \/>\n<p style=\"padding-left: 30px;\">(9) Put on sterile gloves. Drape the patient with four towels so that\u00a0everything but the vaginal opening is thoroughly covered.<\/p>\n<p style=\"padding-left: 30px;\">(10) Encourage the mother to relax and take slow, deep breaths through her\u00a0mouth.<\/p>\n<p style=\"padding-left: 30px;\">(11) Reassure the mother and explain to her what you are doing as you go\u00a0along.<\/p>\n<p>b. <strong>Delivering the Baby<\/strong>. Follow this procedure (figure 2-1):<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/128879242\" width=\"500\" height=\"410\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<figure id=\"attachment_420\" aria-describedby=\"caption-attachment-420\" style=\"width: 230px\" class=\"wp-caption alignright\"><a href=\"http:\/\/brooksidepress.org\/ob-ped\/wp-content\/uploads\/2016\/12\/Figure-2-1.-Procedure-of-normal-childbirth-parturition..jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-420 size-medium\" src=\"http:\/\/brooksidepress.org\/ob-ped\/wp-content\/uploads\/2016\/12\/Figure-2-1.-Procedure-of-normal-childbirth-parturition.-230x300.jpg\" alt=\"Procedures of Normal Delivery\" width=\"230\" height=\"300\" title=\"\" srcset=\"https:\/\/brooksidepress.org\/ob-ped\/wp-content\/uploads\/2016\/12\/Figure-2-1.-Procedure-of-normal-childbirth-parturition.-230x300.jpg 230w, https:\/\/brooksidepress.org\/ob-ped\/wp-content\/uploads\/2016\/12\/Figure-2-1.-Procedure-of-normal-childbirth-parturition.-768x1003.jpg 768w, https:\/\/brooksidepress.org\/ob-ped\/wp-content\/uploads\/2016\/12\/Figure-2-1.-Procedure-of-normal-childbirth-parturition.-784x1024.jpg 784w, https:\/\/brooksidepress.org\/ob-ped\/wp-content\/uploads\/2016\/12\/Figure-2-1.-Procedure-of-normal-childbirth-parturition..jpg 1674w\" sizes=\"auto, (max-width: 230px) 100vw, 230px\" \/><\/a><figcaption id=\"caption-attachment-420\" class=\"wp-caption-text\">Procedures of Normal Delivery<\/figcaption><\/figure>\n<p style=\"padding-left: 30px;\">(1) When the baby&#8217;s head begins to emerge from the vagina, place your\u00a0right hand (or left hand if you are left-handed) over the emerging head and exert very\u00a0gentle pressure. This will allow the head to come out smoothly. Place your other hand\u00a0under the baby&#8217;s head. Supporting the baby&#8217;s head is essential. This support will\u00a0prevent a strong, unexpected uterine contraction from suddenly expelling the baby from\u00a0the vagina.<\/p>\n<p><em><strong>CAUTION: DO NOT attempt to pull the baby from the vagina.<\/strong><\/em><\/p>\n<p style=\"padding-left: 30px;\">(2) If the membranes cover the infant&#8217;s head after the head emerges, tear\u00a0the sac (the membranes) with your fingers or forceps to permit the amniotic fluid to\u00a0escape and enable the baby to breathe.<\/p>\n<p style=\"padding-left: 30px;\">(3) Make sure the umbilical cord is not wrapped around the baby&#8217;s neck. If\u00a0the cord is around the baby&#8217;s neck, gently try to slip the cord over the baby&#8217;s shoulder\u00a0and head.<\/p>\n<p style=\"padding-left: 30px;\">(4) Deliver the baby&#8217;s shoulders and body, supporting the head at all times.<\/p>\n<p style=\"padding-left: 30px;\">(5) Avoid touching the mother&#8217;s anus during delivery.<\/p>\n<p style=\"padding-left: 30px;\">(6) Record the time of birth.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>If all the signs are that the baby is about to be born and there is no time to get the\u00a0mother to the hospital, proceed in this manner: a. Preparation for Delivery. Prepare as follows: (1) Try to find an area of maximum privacy and cleanliness. (2) Allow another woman or the patient&#8217;s husband to &hellip; <a href=\"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-2-normal-and-emergency-childbirth\/section-iii-management-of-mother-and-newborn-during-normal-delivery-in-an-emergency-setting\/2-12-imminent-delivery\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">2-12. IMMINENT DELIVERY<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":32,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-140","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/140","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/comments?post=140"}],"version-history":[{"count":5,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/140\/revisions"}],"predecessor-version":[{"id":529,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/140\/revisions\/529"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/32"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/media?parent=140"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}