Can you please help me? I’m about to give
birth! Oh no! Are you sure? My contractions are less than 2 minutes apart and I can feel
them in my lower back extending to the front of my stomach. They are increasing in intensity,
frequency and duration. Are you sure they’re not false labour contractions? They are normally
felt in the lower part of the stomach and groin and do not increase in intensity. My
amniotic sac has ruptured! I feel the need to move my bowels! The baby is bulging my
perineum! Please lie down with knees bent, separated and with feet flat on the ground.
I’m going to lift your buttocks about 50cm off the surface using towels etc and ensure
there is room on the surface to support the baby during delivery. I’m going to move your
clothing above your waist and place a sterile sheet under your hips. I will wash my hands
and put on sterile gloves. Now think! What did I learn in my advanced first aid course?
Be prepared to support the baby’s head as it emerges. As the baby’s head is born it
normally faces down. I may need to assist by removing fluid or mucus from the mouth.
When the head is born, I will check that the cord is not around the baby’s neck. If it
is I will use 2 fingers to place it over the baby’s shoulder. Support the head as the shoulders
emerge. Don’t try and force the baby out. The remainder of the body normally emerges
quite quickly. Support the baby with both hands. If by any chance the sac has not ruptured,
tear the sac to allow the fluid to escape and move the sac away from the baby’s face.
Use a sterile towel if possible to hold the baby. After birth, raise the baby’s hips above
the level of its head to assist with drainage and lie the baby on its side at the level
of the birth canal or straight onto the mothers stomach. Check for breathing and assist in
cleaning fluid and mucus from the baby’s mouth and nose. A bulb syringe may be used to clear
the mouth and nose if available. If the baby isn’t breathing gently rub their back or top
of their feet. Is still no response give rescue breathes in very small puffs then begin compression’s.
Once breathing, place the baby on the mothers’ abdomen and help her support the baby on its
side. Do not cut the cord. With the baby’s face exposed wrap it up to keep it warm.