Field delivery
- first aid basics
Deana Slovjaková
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Learning objectives
Student will learn which tools are needed for a delivery in the field.
Student will learn the basics of childbirth management.
Image source: https://www.tehotenstvi.cz/3-trimestr-tehotenstvi-priprava-k-porodu/jaka-denni-doba-je-k-porodu-nejvhodnejsi3
Introduction
̶ delivery (childbirth, labour) is the ending of the pregnancy when one or more
babies are born
̶ mostly around 40 weeks of pregnancy
First stage: contractions, full dilatation of the cervix
Second stage: the birth itself
Third stage: placenta delivery
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Delivery
for contractions with an interval of more than 5 minutes
- call EMS, possible to get to the hospital by yourself
for contractions with an interval under 5 minutes
- always call EMS and discuss the procedure, delivery on the field
highly suspected
in case of the symptoms: full dilatation of the cervix, strong,
frequent contractions, significant pressure on the rectum
- call EMS immediately
- delivery on the field is necessary
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Field delivery
Call EMS
Ask the parturient:
- number of deliveries
in the past
- week of pregnancy
- interval of
contractions
- water breaking
TO DO:
- ensure privacy and
clean environment for
woman
- semi-seat position
with bent legs
- calm her down and
support
Preparation of the tools for:
- mother: scissors/knife, 3
pieces of clean strings, clean
coverage (sterile)
- newborn: any clean material
for drying the baby and for
packing it into a dry
- you: hand desinfection,
gloves, face mask
Image source: HÁJEK, Zdeněk, Evžen ČECH a Karel MARŠÁL. Porodnictví. 3., zcela přepracované a doplněné vydání. Praha: Grada, 2014. ISBN 978-80-
247-4529-9.6
Field delivery
We encourage the mother to push
during the contractions, to breathe
out of the contractions.
We protect the perineum by catching it
between the thumb and forefinger
with a veil, we prevent it from tearing.
Image source: https://www.whattoexpect.com/pregnancy/labor-and-delivery/childbirth-stages/pushing-and-delivery.aspx
7
Field delivery
do not rotate baby´s head
do not rotate the baby in any way, just hold it and help in its
natural movement through the birth canal
we finally hold the newborn´s head and thigh so that it does not
fall out
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Field delivery
when the umbilical cord is wrapped around the neck - it must be
carefully unwound
do not raise the newborn significantly above the level of the
mother´s abdomen
If the newborn does not start breathing and screaming
immediately, it is necessary to start resuscitation of the
newborn !!!
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Field delivery
in case of resuscitation of the newborn / mother - it is necessary to
ligate and interrupt the umbilical cord as soon as possible,
OTHERWISE WE DO NOT LIGATE IT!
(place 1st garter 10cm from the newborn´s navel (the garter can be doubled), 2nd garter another 10 cm to
the mother – cut it between with a sterile tool and cover both ends sterile)
 dry the newborn who is breathing, prevent it from getting cold by
wrapping it in blankets (especially the head) and give it to the
mother
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Placenta
do not expel the placenta actively!!!
it can come out on its own, otherwise we leave the birth of the
placenta to health professionals
risk of severe bleeding! (always call EMS)
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Learning outcomes
Student knows what aids need to be prepared for delivery in the field.
Student is able to recognize when it is necessary to proceed with field
delivery.
Student knows the basics of birth delivery management in the field.
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Resources
̶ AUSTIN, Margaret, Rudy CRAWFORD a Barry KLAASSEN. First aid manual: the Authorised
Manual of St John Ambulance, St Andrew's First Aid and the British Red Cross. Revised 10th
edition. London: DK, 2016. ISBN 978-0-2412-4123-3.
̶ HÁJEK, Zdeněk, Evžen ČECH a Karel MARŠÁL. Porodnictví. 3., zcela přepracované a
doplněné vydání. Praha: Grada, 2014. ISBN 978-80-247-4529-9.
̶ REMEŠ, Roman a Silvia TRNOVSKÁ. Praktická příručka přednemocniční urgentní medicíny.
Praha: Grada, 2013. ISBN 978-80-247-4530-5.
̶ ŠEBLOVÁ, Jana a Jiří KNOR. Urgentní medicína v klinické praxi lékaře. 2., doplněné a
aktualizované vydání. Praha: Grada, 2018. ISBN 978-80-271-0596-0.
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Thank you for your attention.
Simulation Centre, Faculty of Medicine, Masaryk University
2020