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February 2005, Volume 35 Number 2 , p 31 - 31


  • Margaret McGill RN, CNM, MN


© 2005 Lippincott Williams & Wilkins, Inc. Volume 35(2)             February 2005             p 31 How do I handle an emergency birth? [CLINICAL QUERIES]

McGill, Margaret RN, CNM, MN

Recently, our ED cared for a 28-year-old woman, 8 months pregnant, who'd been involved in a motor-vehicle accident. Fortunately, her injuries were minor, and we sent her home following observation. But suppose her water had broken? What's the best way to handle an emergency birth in the ED? —G.P., N.J.

Margaret McGill, RN, CNM, MN, replies: Stay calm and reassure the patient that you won't leave her. Call for help or send someone for help.

If the baby's head isn't emerging, put on sterile gloves and take other standard precautions against blood and body fluids. Help the mother lie on her side or in a recumbent position with her legs separated so you can observe the perineum. ...

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