Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14...

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Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics

Transcript of Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14...

Page 1: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Paramedic CarePrinciples & Practice

Volume 3Medical Emergencies

Second Edition

Chapter 14

Obstetrics

Page 2: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-1 Fertilization and implantation of the ovum.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 3: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-2 Anatomy of the placenta.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 4: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-3 Uterine changes associated with pregnancy.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 5: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-4 The hemodynamic changes of pregnancy.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 6: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-5 The maternal-fetal circulation.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 7: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-6 Placenta previa (abnormal implantation).

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 8: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-7 Abruptio placentae (premature separation).

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 9: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-8 The supine-hypotensive syndrome results from compression of the inferior vena cava by the gravid uterus.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 10: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-9 Stages of labor.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 11: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-10 The decision to deliver at the scene or to attempt transport is often a difficult one.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 12: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-11 Crowning.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

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Page 13: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-12   Delivery of the head.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

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Page 14: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-13   External rotation of the head.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 15: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-14   As soon as possible, suction the mouth, then the nose.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 16: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-15   Delivery of the anterior shoulder.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 17: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-16   Complete delivery of the infant.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 18: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-17   Dry the infant.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

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Page 19: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-18   Place the infant on the mother’s stomach.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

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Page 20: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-19   Deliver the placenta and save for transport with the mother and infant.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 21: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-20 Clamp and cut the cord.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 22: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-21 Resuction the airway as needed.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 23: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-22 Stimulate the infant as required.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 24: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-23 Breech delivery.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 25: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-24 Placement of the fingers to maintain the airway in a breech birth.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 26: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-25 Prolapsed cord.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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Page 27: Paramedic Care Principles & Practice Volume 3 Medical Emergencies Second Edition Chapter 14 Obstetrics.

Figure 14-26 Patient positioning for prolapsed cord.

Bryan E. Bledsoe, Robert S. Porter, and Richard A. CherryParamedic Care, Principles & Practice: Medical Emergencies

Copyright ©2006 by Prentice-Hall, Inc.Upper Saddle River, New Jersey 07458

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