Childbirth / Labor
General Adult Assessment
Continue Assessment
Go to General Adult Assessment
Pregnant patient
with signs of
impending delivery
Normal
Presentation
Limb
Presentation
Breech
Presentation
Cord
Presentation
Puncture amniotic
sac if not already
broken
Place patient in
left lalteral
recumbent position
Support body of
baby during
delivery of head
Position patient on
elbows and knees
with hips elevated
Deliver and support
the head
Wrap the cord and
keep it moist
Suction mouth,
then nose; if
meconium present,
repeat several times
Attempt
Vascular Access
Continue Assessment
Go to Vascular Access
Attempt
Vascular Access
Continue Assessment
Go to Vascular Access
Insert gloved hand
to lift off cord;
obtain and document
cord pulse
Deliver
upper shoulder;
then lower shoulder
Deliver remainder
of the baby
Attempt
Vascular Access
Continue Assessment
Go to Vascular Access
Clamp and cut
umbilical cord
If multiple births
repeat steps
Deliver placenta
Attempt
Vascular Access
Continue Assessment
Go to Vascular Access
Patient
hypoperfusing?
Yes
No
Administer 500 ml NS;
repeat as needed
not to exceed 2,000 ml
Continue General Patient
Care
Transport to
Appropriate Facility