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Emergency Childbirth A Reference Guide for Students of the Medical Self-help Training Course, Lesson No. 11 By: United States. Office of Civil Defense |
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EMERGENCY CHILDBIRTH A REFERENCE GUIDE FOR STUDENTS OF
THE MEDICAL SELF HELP TRAINING COURSE LESSON NO. 11 ACKNOWLEDGMENT We wish to acknowledge with grateful appreciation the many services
provided by the American Medical Association, through the Committee on
Disaster Medical Care, Council on National Security, Board of Trustees
and staff, in the preparation of this handbook. From the inception of studies to determine emergency health techniques
and procedures, the Association gave valuable assistance and support.
The Committee on Disaster Medical Care of the Council on National
Security, AMA, reviewed the material in its various stages of
production, and made significant contributions to the content of the
handbook.
A joint publication of the
U.S. DEPARTMENT OF DEFENSE
Office of Civil Defense and the U. S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
Public Health Service
Health Services and Mental Health Administration
Division of Emergency Health Services
5600 Fishers Lane, Rockville, Maryland 20852 Reprinted December 1970 EMERGENCY CHILDBIRTH What To Do 1. Let nature be your best helper. Childbirth is a very natural act.
2. At first signs of labor assign the best qualified person to remain
with mother.
3. Be calm; reassure mother.
4. Place mother and attendant in the most protected place in the
shelter.
5. Keep children and others away.
6. Have hands as clean as possible.
7. Keep hands away from birth canal.
8. See that baby breathes well.
9. Place baby face down across mother's abdomen.
10. Keep baby warm.
11. Wrap afterbirth with baby.
12. Keep baby with mother constantly.
13. Make mother as comfortable as possible.
14. Identify baby.
What Not To Do 1. DO NOT hurry.
2. DO NOT pull on baby, let baby be born naturally.
3. DO NOT pull on cord, let the placenta (afterbirth) come naturally.
4. DO NOT cut and tie the cord until baby AND afterbirth have
been delivered.
5. DO NOT give medication. DO NOT HURRY LET NATURE TAKE HER COURSE. If it becomes necessary for families to take refuge in fallout shelters
there will undoubtedly be a number of babies born under difficult
conditions and without medical assistance. Every expectant mother and the members of her family should do all they
can to prepare for emergency births. They will need to know what to do
and what to have ready. (See "Expectant Mother's Emergency Kit.") SPECIAL SAFEGUARDS A pregnant woman should be especially careful to protect herself from
radiation exposure. She should have the most protected corner of the
shelter and not be allowed to risk outside exposure. She should not
lift heavy objects or push heavy furniture. If food shortages exist,
she should be given some preference. Fear and possible exertion involved during an atomic attack will
probably increase the number of premature births and of miscarriages. PREPARATIONS Usually there is plenty of time after the beginning of first labor
pains to get ready for the delivery. Signs of labor are low backache,
bloody tinged mucous strings passing from the birth canal, or a gush of
water from the birth canal. The mother will need a clean surface to lie on. Her bed should be so
arranged that the mattress is well protected by waterproof sheeting or
pads made from several thicknesses of paper covered with cloth. Cover
these protective materials with a regular bedsheet. A warm bed should be made ready in advance for the baby. It may be a
clothes basket, a box lined with a blanket, or a bureau drawer placed
on firm chairs or on a table. If possible, warm the baby's blanket,
shirt, and diapers with a hot water bottle. Warm bricks or a bag of
table salt that has been heated can be used if a hot water bottle is
not available. A knife, a pair of scissors, or a razor should be thoroughly cleansed
and sterilized in preparation for cutting the umbilical cord. If there
is no way to boil water to sterilize them (the preferred method of
sterilization), sterilize them by submersion in 70 percent isopropyl
alcohol solution for at least 20 minutes or up to 3 hours, if possible... Continue reading book >>
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