Birth Imminent

Description: - New algorithms on management of eclampsia, cord prolapse, post-partum haemorrhage, breech birth and shoulder dystocia are included.-Tranexamic acid can be administered for PPH.- For a woman experiencing an abnormal labour or birth, transfer immediately to the nearest obstetric unit.- If the woman presents with an obvious medical or traumatic condition that puts her life in imminent danger, transfer to the nearest ED with an obstetric unit.- The period of gestation is important in informing the appropriate course of action, including the most appropriate location for conveyance, namely an ED, an early pregnancy unit or an obstetric unit.- In the event of an obstetric emergency, detailing the exact emergency via a pre-alert call will assist the ED or maternity unit to summon the appropriate staff.- Maintaining normothermia in the newborn is critical while on scene and during conveyance. The optimum body temperature of the baby should be between 36.5 and 37.5 degrees.- The use of specific internal manoeuvres may be appropriate where a registered paramedic has received additional training to undertake them.
Date Update Posted Online: September 7, 2017
Book: Reference Edition
Section Title: Birth Imminent: Normal Birth and Birth Complications
Priority: Orange
Guidelines Print Date: September 20, 2017
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