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EMERGENCYWHAT TO DO IN CASE OF ...19 SEPTEMBER 2019
 WHAT TO DO IN CASE OF A EMERGENCY BIRTH

1. Call 112

2. Reassure the pregnant woman: she should breathe quietly with her mouth open.

3. Take her to a place as clean and comfortable as possible, covered with sheets, blankets or clothing. A clean sheet should be kept aside for the genital area. Should there not be one available, a towel, clean clothing or paper should be used instead. If possible, washing the mother's genital area with soap and water is advisable.

4. Accommodate the pregnant woman in a position both comfortable and favorable to giving birth. Leaning over the edge of a bed or table entirely covered with clean towels or sheets could be a good option. While waiting for the right time, the mother should turn on her side. Then when the baby starts announcing its presence, she should go back to the initial position, laying down on her back with her knees bent and legs apart.

5. During contractions, encourage the mother to push, avoiding yelling or talking so that the pushing can be more effective. Between contractions she should rest and recover.

6. The first thing to appear is the baby's head. Never pull on it or make any sudden movements, aiding of any sort should be smooth at this stage. When you start seeing it, place a hand on the baby's head and exert a very gentle pressure. The goal is not for its coming out to occur very fast but during a contraction and thanks to the efforts of the mother.

7. Once the head is out it we can check that the umbilical cord is not wrapped around the neck. In the event that we do find it wrapped around the neck, do not panic, use a finger and gently pull to unroll it, passing it the above the baby's head, thus avoiding strangulation.

8. Hold the baby's head while the mother keeps pushing to bring out the baby’s shoulders. Considering that they are covered in fluids, we should hold, gently but firmly for security.

9. Don’t get alarmed in case the baby is coming bottoms up; simply hold it and let the rest of the body come out without pulling on it.

10. Once out, place the baby on the mother’s belly wrapped up in a towel or blanket or any other garment. This is important because newborns lose much heat, and the mother is able to regulate their body temperature in order to protect the child.

11. Clean the baby’s mouth and nose, you have to push all the fluid from the lungs out. No pats on the back just hold it upside down and gently massage the back. It is a good sign if the baby starts coughing, sneezing or crying.

12. To cut the umbilical cord, use a durable thread to tie up ends. The first node should be done 10 cm away from the baby, and the second at about 5 cm from the first one. The section of cord between the two nodes must not have a pulse, and after careful revision it should be cut with a pair of scissors as clean as possible. Once cut check that there is no blood loss at the edges.

13. If you cannot cut the umbilical cord do not pull on it. It is not advisable to try to remove the placenta. If it comes out before the ambulance gets there, wrap it in a towel and keep it close to the baby.

14. After about 30 min, the mother will feel some contractions to deliver the placenta. Do not pull the cord; she should be able to eject it on her own.

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