Emergency Delivery/Percipitous Delivery

Question 1

In an Emergency Delivery what do you want to tell the client to do ?

Answer 1

Tell the client to pant/blow to decrease the urge to push

   - Should only push during contractions

Question 2

With an Emergency Delivery/Percipitous. Delivery what things should be done ? (in correct order)

Answer 2

• Wash hands
• Elevate HOB
• Place something clean under buttocks
• Decrease touching of vaginal area
• As head crowns, tear the amniotic sac
• Place hand on fetal head and apply gentle pressure (No pushing back in)
• When the head is out, feel for the cord around the neck
  (this is called a nuchal cord)
• Ease each shoulder out
• The rest will deliver fast
• Keep baby’s head down
• DRY BABY* (b/c the baby cannot regular its temperature)
• Place baby on mothers abdomen
• Cover baby (skin to skin is great way to keep baby warm)
• Wait for placenta to separate/deliver
• Can push to deliver placenta
• Inspect placenta for intactness (want placenta out within 30 minutes
• Tie the cord off with something like a clean shoestring or a narrow strip of cloth
  (place the knot no closer than 4 inches to the baby’s navel and a second Knot about 8 inches from the babies navel
• Check firmness of uterus (or will hemorrhage)
  (if soft do fundal massage)

Question 2

With an Emergency Delivery/Percipitous. Delivery what things should be done ? (in correct order)

Answer 2

• Wash hands
• Elevate HOB
• Place something clean under buttocks
• Decrease touching of vaginal area
• As head crowns, tear the amniotic sac
• Place hand on fetal head and apply gentle pressure (No pushing back in)
• When the head is out, feel for the cord around the neck
  (this is called a nuchal cord)
• Ease each shoulder out
• The rest will deliver fast
• Keep baby’s head down
• DRY BABY* (b/c the baby cannot regular its temperature)
• Place baby on mothers abdomen
• Cover baby (skin to skin is great way to keep baby warm)
• Wait for placenta to separate/deliver
• Can push to deliver placenta
• Inspect placenta for intactness (want placenta out within 30 minutes
• Tie the cord off with something like a clean shoestring or a narrow strip of cloth

Question 3

If having an Emergency delivery without medical help, how should you cut the babies cord ?

Answer 3

Cut cord with a heated knife or something similar