Childbirth

Clinical Indications: &= nbsp; &nbs= p; &= nbsp; &nbs= p;

= ______ 1. Immi= nent delivery with crowning present.

Procedure:

= ______ 1.      Gath= er and prepare all necessary equipment.

= ______ 2.      Conf= irm the presence of crowning by assessing the vaginal area during a =

contraction.

= ______ 3.      To p= revent injury to the infant and mother, a slow controlled delivery is recommended.=

= ______ 4.      Supp= ort the infant’s head as needed and allow a natural delivery.<= /span>

= ______ 5.      Chec= k the neck for presence of the umbilical cord.&n= bsp; If present, attempt to gently slip over the face of the infant, if unable to do this clamp the cord in two places and carefully = cut between the clamps.

= ______ 6.      Suct= ion the infant’s mouth and nose with a bulb syringe and dry the head of t= he infant.

= ______ 7.      Duri= ng the next contraction gently guide the infant’s head down to allow the delivery of the anterior shoulder. Then gently guide the head up to allow the delivery of the posterior shoulder.

= ______ 8.      Slow= ly deliver the rest of the infant.

= ______ 9.      Cont= inue to suction and dry the infant and provide tactile stimulation to promote crying.

= ______ 10. Clam= p the cord approximately 8-10 inches from the infant’s umbilicus and then p= lace second clamp 2-3 inches back toward the umbilicus. Avoid “milking” the umbilical cord.

= ______ 11. Cut = the cord between the two clamps and observe for uncontrolled bleeding from eith= er end, if present apply additional clamps as necessary to control bleeding.

= ______ 12. Reco= rd the APGAR scores at 1 and 5 minutes.

= ______ 13. Foll= ow the New Born Protocol for further treatment.

= ______ 14. The placenta will deliver simultaneously (5-20 minutes after birth of infant), avoid pulling on the cord to deliver placenta. Place placenta in a bag and transp= ort with mother and infant.

= ______ 15. Mass= aging the uterus may facilitate the delivery of the placenta and decrease maternal bleeding by allowing the uterus to contract.

= ______ 16. Cont= inue rapid transport to the hospital.

= ______ 17. Docu= ment procedure, results, findings and time in the electronic PCR.

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.