Lesson 4.9: Obstetrics/Gynecology
By the end of this lesson, the EMT-Basic should be able to:
- Identify the following structures: uterus, vagina, fetus, placenta, umbilical cord, amniotic sac, perineum.
- Identify and explain the use of the contents of an obstetrics kit.
- Identify pre-delivery emergencies.
- State indications of an imminent delivery.
- Differentiate the emergency medical care provide to a patient with pre-delivery emergencies from a normal delivery.
- State the steps in pre-delivery preparation of the mother.
- Establish the relationship between body substance isolation and childbirth.
- State the steps to assist in the delivery.
- Describe care of the baby as the head appears
- Describe how and when to cut the umbilical cord.
- Discuss the steps in the delivery of the placenta.
- Describe the procedures for the following abnormal deliveries: Breech birth, prolapsed cord, limb presentation.
- Differentiate the special considerations for multiple births.
- Describe special considerations of meconium.
- Describe special considerations of a premature baby.
- Discuss the emergency medical care of a patient with a gynecological emergency.
- Explain the rationale for understanding the implications of treating two patients (mother and baby)
- Demonstrate the steps to assist in the normal cephalic delivery.
- Demonstrate the necessary care procedures of the fetus as the head appears.
- Demonstrate infant neonatal procedures.
- Demonstrate post delivery care of the infant.
- Demonstrate how and when to cut the umbilical cord.
- Attend to the steps in the delivery of the placenta.
- Demonstrate post-delivery care of the mother.
- Demonstrate the procedures for the following abnormal deliveries: vaginal bleeding, breech birth, prolapsed cord, limb presentation.
- Demonstrate the steps in the emergency medical care of the mother with excessive bleeding.
- Demonstrate completing a prehospital care report for patients with obstetrical/gynecological emergencies.