Emergency Childbirth

The emergency childbirth of delivery of a child happens when no health care professional is available on the scene. It is very important for people around expecting mother to understand the normal process of labor and childbirth.

Labour is classified into three stages-

First Stage

  • This is the early part of labor. The mother should breathe slowly and deeply during contractions and frequent urination may help to relieve the uneasiness.
  • Select a right place to deliver the baby that should be clean and peaceful. She can lie down or sit in leaning position supporting her back.
  • As the contractions persist at regular intervals of 3-4 minutes, the mother reaches in the latter part of the first stage.
  • The mother will make a deep grumble and moans with each contraction.
  • Place a hand on the abdomen of the mother just above the umbilicus. With the contractions start off, you will feel a hardening ball. Time the interval from the moment the uterus starts to harden until it relaxes completely.
  • If the mother is thirsty or hungry, give her small amounts of food or fruit juice.
  • Don’t leave the mother alone and unattended.
  • Do not wipe away the vaginal secretions as it can contaminate the birth canal.
  • She may get panicked, cry or be in deep pain. The attendants around her should have a cheerful and encouraging appearance to calm her.

Second Stage

  • The mother bears down with contractions of the womb to assist the baby through the birth canal to come out.
  • Here, the contractions are different as the mother generally fells prone to push with them. The mother should take deep breaths with each contraction, hold her breath and push gently. She should take rest between contractions.
  • The attendants should reassure the mother and get ready to offer first aid to both mother and baby. Also get sterile materials, clean towels or a blanket and other coverings under her.
  • Prepare for delivery by helping the mother to lie on her back with her knees bent.
  • As the baby’s head comes to the outlet of the birth canal, you can see it.
  • The mother will feel a stretch or burn sensation. She should pant and not push to make the child come out gently and painlessly. Allow the head only to come between contractions.
  • As the baby comes down the birth canal, continue massaging the perineum to make it red. Support the perineum and with other hand keep on pressing gently around the baby’s head with fingers.
  • As the head of the baby is born, support it. Clean the face with a sterile washcloth.
  • Check around the neck to see the cord at once. If you see it, hook it and pull it around the head of the baby.
  • With hte next contractions, the rest of the body of the baby will come out.
  • Raise the baa by little higher than the head to allow the fluid to come off from nose and mouth.
  • The baby will breathe and cry immediately.

Third Stage

  • The afterbirth is discharged by the womb in the few minutes to many hours after the baby is born.
  • After bleeding, there can be more bleeding and blood clots.
  • If the womb is soft, the baby should be furthered to nurse and the mother must encourage him to massage the womb gently.

Bleeding

Bleeding is the loss of blood from any part of the body. Bleeding can happen either in the body or externally. Bleeding can also happen through a natural opening or through a break in the skin. To deal with bleeding in the best way, it is very important for you to know about what causes bleeding, its causes, symptoms, and how you can deal with it.

Bleeding is the direct result of an injury done to the blood vessels that carry blood in the human body. The injury and bleeding due to it can be minimal or can be grave and life-threatening. One of the most common reasons for these injuries is wounds and cuts. The natural disasters such as earthquakes, volcanoes, tornadoes or hurricanes etc and other incidents such as gunshot wounds, automobile accidents, household accidents, machinery can often cause injuries.

What are the signs and symptoms of bleeding?

There are several signs and symptoms of bleeding, such as –

  • bruising
  • clammy skin
  • bluish lips and fingernails
  • weakness
  • decreased alertness
  • low blood pressure
  • confusion
  • rapid heart rate
  • shock
  • paleness

The cases of external bleeding by a natural opening are:

  • Blood in stool in black, bright red or maroon color
  • Blood passing through urine
  • Blood in vomit in red, brown or black color
  • Vaginal bleeding

The cases of internal bleeding are:

  • Abdominal pain and swelling
  • Blood coughing up
  • Fainting and weakness
  • Swelling of abdomen

Diagnosing bleeding

External bleeding can be diagnosed by looking at it. The diagnosis of bleeding starts with the history and physical examination. You can do some special X-ray tests, such as CAT scans and MRI. These tests can confirm the case of internal bleeding.

What to do to prevent bleeding?

  • The patient should be calmed. Lay him or her down on his or her back. It will reduce all the chances of the patient’s fainting or falling.
  • The assisting person must wear the latex gloves to avoid exposure to blood.
  • Remove any debris and dirt present in the wound. You must try to remove any object stuck in the person’s body.
  • The wound must be washed with soap and warm water.
  • External bleeding must be controlled with direct pressure. You should use a clean cloth, a tourniquet or sterile bandage with a gloved hand to apply pressure till bleeding stops. If bleeding goes on, infection can happen with the injury to an organ of body or your skin.
  • After bleeding stops, clean dressing must be firmly applied on the wound. Dressing must be big enough to cover the wound fully.
  • Call an ambulance in case of emergency.