Regional Emergency Medical Advisory Committee of New York City
Certified First Responder Support Protocols
Copyright January 1996 (8/96)

340 OBSTETRIC EMERGENCIES

Monitor the airway.

Administer oxygen.

Place the patient in a LEFT lateral recumbent position.

If the patient is immobilized, elevate the right side of the long board a few inches.

Assess for shock and treat, if appropriate. (See Protocol #315.)

For Special Considerations, request Advanced Life Support assistance, and see below.

Transport in accordance with first response agency policy.

SPECIAL CONSIDERATIONS

SEVERE HYPERTENSION

NOTE:HYPERTENSION IN A PREGNANT PATIENT IS CONSIDERED SEVERE IF THE SYSTOLIC PRESSURE IS 160 mm Hg OR HIGHER OR THE DIASTOLIC PRESSURE IS 110 mm Hg OR HIGHER.


Keep the mother calm, avoid loud noises, and keep in dim light.

SEIZURES

If seizures occur, see Protocol #313.

POST-PARTUM HEMORRHAGE

Massage the mother's abdomen over the uterus.

Place a sterile sanitary napkin over the vaginal opening.

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