Adult Obstetrics Limb Presentation

Question 1

Adult Obstetrics Limb Presentation - Initial actions?

Answer 1

OB Hx
Prepare for delivery
Administer high flow O2
Position mother on hands and knees while preparing to transport

Question 2

Adult Obstetrics Limb Presentation - Patient position for transport?

Answer 2

Place the mother in the left-lateral recumbent position with her hips raised

Question 3

Adult Obstetrics Limb Presentation - Pt having contractions?

Answer 3

Have the mother pant through contractions without pushing or bearing down

Question 4

Adult Obstetrics Limb Presentation - Patient safety considerations

Answer 4

Do no attempt field delivery
Do not touch presenting part
Do not attempt to pull or push on presenting part

Question 5

Adult Obstetrics Limb Presentation - Delivery preparation? 8 items

Answer 5

Prepare OB kit
Assemble BVM
Prepare oxygen
Adjust powered suction to 80 - 100 mmHg
Turn up heat
Have blankets / towels
Have intubation equipment 
Ensure access to French suction catheter