The Emergency Childbirth outside Maternity

The Emergency Childbirth outside Maternity

  Autor Marin Gh. Ciobanu Data: 26.10.2009


Sometimes labour is progressing so quickly that there is no time for a professional nurse in the hospital or at home.

The next lines are just useful recommendations for such extreme situations. It would be wrong to consider them a guide because birth outside the hospital without qualified assistance can be a very risky act.

But if you are called to help at the birth of a child in emergency conditions, try to remain calm. Remember that birth is a natural phenomenon. The mother and the child will make the largest part of the effort. If the woman says that she will give birth soon, then you shall give her credence. Send by doctor or midwife. Keep onlookers outside and heat the room. Encourage the mother to breathe fast and shallow and not to exert herself or keep her legs together trying to delay the childbirth, because it can give rise to brain damage of the fetus. If you have time, wash her genitals and your hands with boiled and cooled water and soap or detergent. If there is no time, lay clean sheets or clothes made roll under her buttocks. If possible, place the mother on a table or a bed, with her buttocks at the edge, her feet on the chair and a bowl underneath.

Sometimes the mother wants to lean forward in order to catch her knees with her hands, to sit on her hams or on one side. Let her decide what most comfortable position for her is. As the baby's head appears, ask the mother to breathe slowly, without pushing, and keep a light hand counter-pressure on the perineum to prevent its coming out too quickly. Let the head come out gradually, don't pull it out at all. If from the vagina comes out a glassy blue-gray part, this may be an umbilical cord loop around the head, put a finger underneath it and move it softly over the baby's head. When the head comes out, pull down slightly the edges of the nose to remove secretions and amniotic fluid from the nose and mouth; keep it with the neck and chin upward. If the membranes are still present over the baby's face, tear them gently with your fingernail so that it can breathe. Then catch the head with both hands and gently push it down very easily, without pulling it, asking the mother to strive herself in order to eject the front shoulder. As the top shoulder exits, carefully lift the head, following the expulsion of the next shoulder. After releasing the shoulders, the rest of the child slip out easily. Catch the child closely, carefully, for it is slippery. Wrap it quickly with a clean sheet or towel, preferably freshly ironed. If it is covered with a whitish substance, do not remove it. Place the baby on her mother's abdomen or on her chest when the cord is long enough; do not pull the cord. If it does not yell immediately, place the child on the mother's thigh or abdomen with its head lower than the feet and gently rub his back. This helps the drainage of secretions and the increasing of the bloodpressure, alleviating the releasing of first breathing. Do not pull the placenta out; expect to be expelled spontaneously. Gently massage the mother's abdomen in a circular motion, gently pressing down 5-7 cm below the umbilical cord, in order to stimulate the uterus' contractions and to reduce bleeding. Keep the mother and the baby in terms of warmth and comfort. Do not rush to cut the umbilical cord until a qualified assistance arrives. In his absence, cut the cord at 10 cm from the skin with scissors kept onto the flame first and touch the sectioned extremity with iodine alcohol or medicinal alcohol. Put the placenta near the child to keep it warm. Do not wash the baby's vernix. After the baby is breathing, place him at its mother's breast. If she can breastfeed it, nipple stimulation will help the uterus contraction and placenta removal. If the child doesn't suck in, its mother can easily massage her nipples to help the stimulation of the uterus.

Birth on the field. It is possible that the birth trigger unexpectedly at the picking of potatoes or corn, even when the woman is unaccompanied. In this extreme situation you must remember one thing: knot the umbilical cord, without cutting it after removal of the placenta. The cutting and tying the umbilical should be done in aseptic conditions (sterile) in order to avoid the infections, including the newborn's tetanus.

The confinement usually includes the first six weeks after childbirth. In reality there are necessary much more months, sometimes even a year to restore physical, emotional and social changes that arise after the birth of a child. In fact you will never get back completely to what you were. Some changes during pregnancy are permanent, such as stretch marks that do not disappear completely or the vagina that has a lower tonus. Other changes are temporary: bloated stomach strengthens helped by muscular exercises, and breast milk outflow will disappear.

You can notice that you become more slender, but you still feel bloated, looking like a pregnant in the fifth month. Your image in the mirror is normal for a mother who just gave birth. In your soul you feel the sacred mission of being a MOTHER.

During confinement we can distinguish three phases: immediate, within 24 hours, intermediate, the next 10-12 days and late, the first 6-8 weeks.


Source:
"Mother and Child", Vol. 1, Marin Gh. Ciobanu




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