After reading this chapter, you should be able to:
- Describe the anatomic structures and physiology of the reproductive system during pregnancy.
- Identify the normal events of pregnancy.
- Describe how to assess an obstetrical patient.
- Identify the stages of labor and the paramedic's role in each stage.
- Differentiate between normal and abnormal delivery.
- Identify and describe complications associated with pregnancy and delivery.
- Identify predelivery emergencies.
- State indications of an imminent delivery.
- Identify the contents of an obstetrical kit and explain the use of each item.
- Differentiate the management of a patient with predelivery emergencies from a normal delivery.
- State the steps in the predelivery preparation of the mother.
- Establish the relationship between body substance isolation and childbirth.
- State the steps to assist in the delivery of a newborn.
- Describe how to care for the newborn.
- Describe how and when to cut the umbilical cord.
- Discuss the steps in the delivery of the placenta.
- Describe the management of the mother post-delivery.
- Summarize neonatal resuscitation procedures.
- Describe the procedures for handling abnormal deliveries, complications of pregnancy, and maternal complications of labor.
- Describe special considerations when meconium is present in amniotic fluid or during delivery.
- Describe special considerations of a premature baby.
- Given several simulated delivery situations, provide the appropriate assessment, management, and transport for the mother and child.
