Childbirth, Emergency Delivery
Childbirth, Emergency Delivery
- delivery, emergency
- emergency delivery
- birth, emergency
- home delivery
What is going on in the body?
What are the causes and risks of the condition?
- have given birth before
- have had a rapid delivery before
- have certain connective-tissue diseases, such as Marfan's syndrome or Ehrlos-Danlos syndrome
- have a history of any of several conditions causing the cervix not to stay closed when it should
- go into labor prematurely, or before 36 weeks
- have been injured or seriously ill, which may start premature labor
- the mother lives far from a medical facility
- bad weather prevents getting to the hospital
What can be done to prevent the condition?
- Do NOT prevent delivery by holding the mother's legs together or pushing the baby's head back into the birth canal. This can seriously injure the mother and the baby.
- Do NOT allow the mother to sit on the toilet during delivery. The toilet could injure the baby.
- Do NOT allow the baby to be pulled from the vagina.
- Do NOT pull on the umbilical cord.
- Do NOT use chemicals or antiseptics on the birth canal or the baby. The baby should be dried off and wrapped in a dry warm towel
What are the treatments for the condition?
- Emergency childbirth supplies should be handy at all times in the car, home, and office of a pregnant woman. This is important if she has a history of speedy deliveries.
- Emergency supplies should include a flashlight, pillow, clean sheets and towels, suction bulb, sterile rubber gloves, clean scissors, and two clean cord ties.
- Hands should be washed with clean soap and water. Rubber gloves should be worn if possible.
- The mother should be placed in a comfortable, flat position. Clean sheets or towels should be placed under the mother's buttocks.
- The mother's back and head should be supported with pillows or by another person.
- The mother should bend her knees to her chest and spread them apart when she feels like pushing.
- Gentle pressure should be applied at the lower edge of the vagina as the baby's head starts to show. This prevents the baby from coming too fast and ripping the vaginal tissues.
- Once the baby's head is delivered, it is likely that the head will turn to one side. The baby's head should be supported and any amniotic fluid should be wiped away. Fluid should be very gently suctioned out of the nose and mouth.
- If the umbilical cord is wrapped around the baby's neck, a finger should be hooked under the loop to gently and quickly slip it over the baby's head.
- If the baby's shoulders are not too large, the rest of the baby's body usually delivers quickly after the head. A towel should be used to support the baby because newborns are very slippery. The baby can also be delivered directly onto a flat surface between the mother's legs.
- If the baby seems stuck after the head is delivered, pressure should be put above the mother's pubic bone. She should push hard. This usually releases the shoulders to allow for delivery.
- The baby may look blue and floppy at first. The baby's back or the bottom of the feet should be rubbed with the towel. This starts breathing. The baby should be held face down to allow fluids to drain out of the lungs. Fluids should be suctioned out of the nose and mouth.
- Once the baby cries and is breathing well, the baby should be dried off, wrapped in a towel that does not block breathing, and placed on the mother's stomach or chest. Breastfeeding should be encouraged.
- The umbilical cord must be tied off. A clean shoelace, or an umbilical clamp, if there is one in the emergency kit, should be tied no closer than four inches from the baby. The cord must not be cut.
- The placenta usually delivers within 30 minutes after the baby is delivered. The mother will continue to have contractions during this time. She may bleed from the birth canal. Once the placenta is expelled, it should be put it in a clean container or plastic bag so that it can be taken to the hospital for analysis.
- It is important to prevent hypothermia, or low body temperature, in either the mother or the baby. Both should be kept dry and warm
What are the side effects of the treatments?
What happens after treatment for the condition?
How is the condition monitored?