Reviews the anatomical and physiological changes that occur during pregnancy, demonstrate normal and abnormal deliveries, summarize signs and symptoms of common gynecological emergencies. Recommended classroom time is 4 hour and 4 hour, lab time. Presentation is over 85 Slides in length. Meets or exceeds USDOT NHTSA 2009 EMT/EMR training requirements.

1. PREVIEW OF
EMT/EMR OBSTETRICS
POWERPOINT TRAINING
PRESENTATION

2. ANATOMY REVIEW

3. AMNIOTIC SAC
(Bag of Water)

4. FEMALE REPRODUCTIVE CYCLE
Lasts 28 about days for female to allow for
pregnancy
Hormones control the cycle
1st ovaries are stimulated to release an ovum
(egg)
Then the uterus wall thicken to prepare for the
egg if fertilization occurs

5. FEMALE REPRODUCTIVE CYCLE
Next the fallopian tubes slowly transport the
ovum to the uterus
Then the ovum is implanted into the wall of the
uterus where it will grow into a fetus
If fertilization does not occur hormone levels
will tell the inner uterus to break down &
slough off to be expelled through the vagina
for 3-5 days (menstruation)

6. PHYSIOLOGY
Normal anatomical, physiological, &
psychological changes in pregnancy
Reproductive system
Respiratory system
Cardiovascular system
Musculoskeletal system

7. NORMAL EVENTS OF PREGNANCY
Consists of
Conception
During First Trimester (14 weeks each)
Minute ventilation
Womb grows to the size of a lemon
Nausea (morning sickness)
Tender breasts

8. FUNCTIONS OF THE PLACENTA
AKA Afterbirth
Connects the fetus to the
uterine wall allowing for
nutrient uptake, waste
elimination & gas exchange
via the mothers blood supply
Also fights infection & produces
pregnancy hormones

9. PREMONITORY SIGNS OF LABOR
Lightening
Braxton hicks/false labor
Cervical changes
Bloody show
Rupture membranes
Contractions regular and at closer intervals
Other

10. BRAXTON HICKS
CONTRACTIONS
AKA False labor or practice contractions
Sporadic uterine contractions not normally
felt till third trimester
S & S include infrequent, irregular mild
cramping lasting 1-2 minutes

11. INSPECT FOR CROWNING
Consider privacy of the
mother
Baby’s head becomes
visible in the vaginal
opening
Birth is immanent

12. STEPS IF YOU NEED TO DELIVER
Make note of the birth time
Keep the baby at the level of the
birth canal
Clamp the cord, cut only if sterile
equipment available
Monitor the ABC’s
Wait for the afterbirth delivery

13. POSTPARTUM CARE
Perform fundal massage of abdomen to reduce
hemorrhage
Signs of hemorrhage

14. ABUSE
Often women are abused by their significant
other for many reasons
Law enforcement needs to be notified

15. PREGNANCY-INDUCED HYPERTENSION
The development of hypertension after 20
weeks of gestation
Defined of B/P greater than 1440/90 mm Hg
Can lead to life-threatening conditions of fetus

16. ECLAMPSIA
The onset of seizures in a woman with pre-
eclampsia
Seizures are tonic-clonic lasting about a minute
Happens during the second half of the
pregnancy

17. PRECIPITOUS LABOR & BIRTH
Labor lasting less than 3 hours
Often child is delivered outside the hospital
Locations can be
Home
Car
Ambulance

18. PRETERM LABOR
Infant is born before 37 weeks gestation
Often infants systems mature at 34-37 weeks
Lungs are the last to mature & are affected by
premature birth

19. BREECH BIRTH
Fetus presents buttocks or feet first

20. NUCHAL CORD
Cord is wrapped around the fetal neck
Happens in 6-7% of all births
Up to half of nuchal cords resolve before
delivery

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