Childbirth in the field
You are called to a childbirth as the EMS. You´ve just arrived. The young pregnant woman says that the amniotic fluid has drained away and her contractions are periodic- after about 1 minute. What will you do first?
I´ll find out the medical history and transport her immediately to the maternity hospital immediately.
At first I´ll find out medical history meanwhile I´ll measure blood pressure, pulse by pulse oximeter, monitor the saturation of haemoglobin, examine the cervix score and secure one peripheral venous access(for example into the cubital vein).
I´ll do nothing- there is no indication that the woman in labour needs my help.
During contractions the woman in labour feels severe pain. Because of this fact I´ll give her a strong analgetics (such as morphine iv).
RR
18 /min
HR
110 /min
SpO2
100 %
BP
150/100 (117) mmHg