preview of emt/emr obstetrics powerpoint training presentation
TRANSCRIPT
PREVIEW OF
EMT/EMR OBSTETRICSPOWERPOINT TRAINING
PRESENTATION
ANATOMY REVIEW
AMNIOTIC SAC(Bag of Water)
FEMALE REPRODUCTIVE CYCLE
Lasts 28 about days for female to allow for pregnancyHormones control the cycle1st ovaries are stimulated to release an ovum
(egg)Then the uterus wall thicken to prepare for the
egg if fertilization occurs
FEMALE REPRODUCTIVE CYCLE
Next the fallopian tubes slowly transport the ovum to the uterus
Then the ovum is implanted into the wall of the uterus where it will grow into a fetus
If fertilization does not occur hormone levels will tell the inner uterus to break down & slough off to be expelled through the
vagina for 3-5 days (menstruation)
PHYSIOLOGY
Normal anatomical, physiological, & psychological changes in pregnancy
Reproductive systemRespiratory systemCardiovascular systemMusculoskeletal system
NORMAL EVENTS OF PREGNANCY
Consists of ConceptionDuring First Trimester (14 weeks each)Minute ventilationWomb grows to the size of a lemonNausea (morning sickness)Tender breasts
FUNCTIONS OF THE PLACENTA
AKA AfterbirthConnects the fetus to the
uterine wall allowing for nutrient uptake, waste elimination & gas exchange via the mothers blood supply
Also fights infection & produces pregnancy hormones
PREMONITORY SIGNS OF LABOR
LighteningBraxton hicks/false laborCervical changesBloody showRupture membranesContractions regular and at closer intervalsOther
BRAXTON HICKS CONTRACTIONS
AKA False labor or practice contractionsSporadic uterine contractions not normally
felt till third trimesterS & S include infrequent, irregular mild cramping lasting 1-2 minutes
INSPECT FOR CROWNING
Consider privacy of the mother
Baby’s head becomes visible in the vaginal opening
Birth is immanent
STEPS IF YOU NEED TO DELIVER
Make note of the birth timeKeep the baby at the level of the
birth canalClamp the cord, cut only if sterile
equipment availableMonitor the ABC’sWait for the afterbirth delivery
POSTPARTUM CARE
Perform fundal massage of abdomen to reduce hemorrhage
Signs of hemorrhage
ABUSE
Often women are abused by their significant other for many reasons
Law enforcement needs to be notified
PREGNANCY-INDUCED HYPERTENSION
The development of hypertension after 20 weeks of gestationDefined of B/P greater than 1440/90 mm HgCan lead to life-threatening conditions of fetus
ECLAMPSIA
The onset of seizures in a woman with pre-eclampsiaSeizures are tonic-clonic lasting about a minuteHappens during the second half of the pregnancy
PRECIPITOUS LABOR & BIRTH
Labor lasting less than 3 hoursOften child is delivered outside the hospital Locations can be
HomeCarAmbulance
PRETERM LABOR
Infant is born before 37 weeks gestationOften infants systems mature at 34-37 weeksLungs are the last to mature & are affected by
premature birth
BREECH BIRTH
Fetus presents buttocks or feet first
NUCHAL CORD
Cord is wrapped around the fetal neckHappens in 6-7% of all birthsUp to half of nuchal cords resolve before delivery
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