OB/Peds
Obstetric & Neonatal Resuscitation
Branching delivery complications, NRP-style newborn resuscitation, and maternal hemorrhage priorities for ALS crews.
Maternal emergencies on scene
The CDC tracks maternal health outcomes—EMS plays a role when complications arise outside hospitals.1 Eclampsia presents with seizures in pregnancy—magnesium sulfate per protocol and airway protection precede transport. Placenta previa and abruptio may cause painless or painful bleeding with shock; large-bore IV access and rapid transport outweigh field ultrasound attempts.
Shoulder dystocia branching scenarios test McRoberts positioning, suprapubic pressure, and medical direction for advanced maneuvers—never fundal pressure. Postpartum hemorrhage after delivery requires uterine massage, oxytocin per protocol, and blood product readiness at receiving facility notification.
Neonatal resuscitation sequence
MedlinePlus childbirth guidance emphasizes immediate drying, warming, and stimulation for most newborns.2 NRP algorithm: provide warmth, dry, stimulate; assess breathing and tone—if apneic or gasping with HR below 100, start positive pressure ventilation. Increase FiO₂ per protocol for term infants; chest compressions when HR remains below 60 after 30 seconds of effective ventilation.
Epinephrine and volume expansion follow when compressions fail to raise heart rate—use correct ET tube size and capnography when intubating neonates. Two-rescuer cord clamping and thermal protection continue through transport; keep mother and baby together when both are stable for warmth and emotional support.
Practice this skill
Apply what you read with a hands-on Obstetrics & Neonatal Care drill — instant feedback on every scenario.
