Ch. 21-Childbirth and Related EmergenciesVocabularySlide 3LaborFirst Aid Supplies for DeliveryPROGRESS CHECKMiscarriageSeizure during PregnancyVaginal Bleeding in Late PregnancyEctopic PregnancySlide 11Preeclampsia/EclampsiaSlide 13Transporting a Woman in LaborAssisting with DeliveryDelivery ProceduresVaginal Bleeding following DeliverySlide 18Care of a NewbornResuscitating a NewbornSlide 2121.5 Abnormal DeliveriesSlide 23Slide 2411Ch. 21-Childbirth andCh. 21-Childbirth andRelated EmergenciesRelated Emergencies22VocabularyVocabularyFetusFetus- The developing unborn baby- The developing unborn babyUterusUterus- The organ in which the baby grows- The organ in which the baby growsBirth canal-Birth canal- The vagina and lower part of the uterus The vagina and lower part of the uterusPlacentaPlacenta- Structure on the inner lining of the uterus that provides the fetus - Structure on the inner lining of the uterus that provides the fetus with nourishmentwith nourishmentUmbilical cord-Umbilical cord- An extension of the placenta that resembles a sturdy rope, An extension of the placenta that resembles a sturdy rope, through which the fetus is nourishedthrough which the fetus is nourishedAmniotic sac-Amniotic sac- A sac of fluid in which the baby floats A sac of fluid in which the baby floatsVaginaVagina- The passage for childbirth- The passage for childbirthPerineumPerineum- The area of skin and muscle between the vagina and the anus- The area of skin and muscle between the vagina and the anusCrowningCrowning- The emergence of the baby’s head at the vaginal opening- The emergence of the baby’s head at the vaginal openingCervixCervix- The neck of the uterus- The neck of the uterusBloody show-Bloody show- Pink-tinged mucus in the vaginal discharge that is evident as Pink-tinged mucus in the vaginal discharge that is evident as labor begins presenting part The part of the baby that emerges first through the labor begins presenting part The part of the baby that emerges first through the birth canal; in a normal birth it is the head.birth canal; in a normal birth it is the head.MiscarriageMiscarriage- Loss of pregnancy before 20 weeks of gestation; also called - Loss of pregnancy before 20 weeks of gestation; also called “spontaneous abortion”“spontaneous abortion”LaborLabor- The process that begins with the first uterine contraction and ends with - The process that begins with the first uterine contraction and ends with delivery of the baby and placenta delivery of the baby and placentaDilationDilation- The stage of labor during which the cervix dilates and - The stage of labor during which the cervix dilates and contractions occur contractions occur3344LaborLaborLaborLaborDilationDilationCrowning and DeliveryCrowning and DeliveryDelivery of the PlacentaDelivery of the Placenta55First Aid Supplies for DeliveryFirst Aid Supplies for DeliverySurgical scissors (for cutting the cord)Surgical scissors (for cutting the cord)Cord clampsCord clampsUmbilical tape or sterilized cordUmbilical tape or sterilized cordBulb syringeBulb syringeFive towelsFive towels2 X 10 gauze sponges2 X 10 gauze spongesSterile glovesSterile glovesOne baby receiving blanketOne baby receiving blanketTwo to three sanitary napkins, individually wrappedTwo to three sanitary napkins, individually wrappedTwo large plastic bagsTwo large plastic bagsFoil-wrapped germicidal wipesFoil-wrapped germicidal wipes66PROGRESS CHECKPROGRESS CHECK1. The organ that houses a fetus during its development is 1. The organ that houses a fetus during its development is the ____________. the ____________. (vagina/perineum/uterus)(vagina/perineum/uterus)2. The ____________ provides nutrients and oxygen to the 2. The ____________ provides nutrients and oxygen to the fetus.fetus.(placenta/cervix/amniotic sac)(placenta/cervix/amniotic sac)3. The ____________ often tears during emergency childbirth.3. The ____________ often tears during emergency childbirth.(placenta/perineum/vagina)(placenta/perineum/vagina)4. One of the earliest indications of imminent delivery is the 4. One of the earliest indications of imminent delivery is the ____________. ____________. (presenting part/crowning/”bloody show”)(presenting part/crowning/”bloody show”)5. Spontaneous delivery of a fetus before 20 weeks of 5. Spontaneous delivery of a fetus before 20 weeks of pregnancy is called ____________. pregnancy is called ____________. (crowning/miscarriage/breech birth)(crowning/miscarriage/breech birth)6. The first stage of labor is called ____________.6. The first stage of labor is called ____________.(crowning/dilation/presentation)(crowning/dilation/presentation)77MiscarriageMiscarriage1. Ask the woman when her last menstrual period began. 1. Ask the woman when her last menstrual period began. If the last period began more than 22 weeks earlier, be If the last period began more than 22 weeks earlier, be prepared for potential delivery of a premature baby.prepared for potential delivery of a premature baby.2. Conduct an initial assessment; monitor vital signs.2. Conduct an initial assessment; monitor vital signs.3. Provide first aid care based on the woman’s 3. Provide first aid care based on the woman’s symptoms. Help control vaginal bleeding by placing a symptoms. Help control vaginal bleeding by placing a sanitary napkin over the vaginal opening; never pack sanitary napkin over the vaginal opening; never pack the vagina in an attempt to control bleeding. If the pad the vagina in an attempt to control bleeding. If the pad becomes soaked with blood, replace it.becomes soaked with blood, replace it.4. Save any passed tissue or evidence of blood loss, such 4. Save any passed tissue or evidence of blood loss, such as bloody sheets, towels, or underwear.as bloody sheets, towels, or underwear.5. Provide emotional support to the mother and the 5. Provide emotional support to the mother and the members of her family; intense grief is normal for both members of her family; intense grief is normal for both parents.parents.88Seizure during PregnancySeizure during Pregnancy1. Treat the woman based on the signs and 1. Treat the woman based on the signs and symptoms, providing the same treatment as symptoms, providing the same treatment as you would for any seizure victim. Take care to you would for any seizure victim. Take care to protect the