EMT-Basic/Medical/OBGYN

Lesson 4.9: Obstetrics/Gynecology

Objectives

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.