Unexpected delivery.

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Normally, the mothers who are going to give birth are taken care of in health centers. However, sometimes the birth surprises them in unexpected places or during the transfer, and they do not have professional attention. This is how circumstantial people with little or no experience become midwives and attend the birth of a baby.

This situation may never be present in the course of our life, but, if we have the luck to help a mother to give birth, it is better that we have some knowledge on the subject.

Symptom:
 Contractions occur in the abdomen every 10 or 15 minutes. Accompanied by abdominal and back pain.
 Almost always breaks the amniotic sac, known as “bag of water.” Usually, this occurs just before delivery, but sometimes it happens several hours before.
 The loss of a small amount of blood accompanies the explosion of the mucus plug that closes the cervix.
 The vagina dilates.
The contractions are increasingly frequent and intense.
 The baby’s head appears.

After 9 months of gestation, the baby is ready to be born. The dilation of the uterus helps the baby to adjust to go outside. The contractions push the baby out of the uterus, into the vagina. First release the head and then the rest of the body.

What do we do?
1. We help the mother to take off her clothes from the waist down.
2. We rest in an isolated place, with the thighs separated and the knees bent.
3. We reassure and try to relax between contraction and contraction (which become more intense).
4. During the contractions the mother will try to push, but we should advise her not to push and to relax between contraction and contraction.
5. While the baby is coming out, we ask the mother not to push and try to pant. We should not manipulate the baby’s head but hold it gently. Nor should we squeeze the mother’s belly.
6. Once the baby’s head comes out, the arms and shoulders come out immediately. Hold it under the arms as if we were directing it towards the mother’s abdomen. We should not pull the cord or force it. If the amniotic sac was not broken, we will have to prick it very carefully and remove its contents from the baby’s head.
The panting consists of a series of very short breaths to the mouth. It is very useful so that the mother does not get out of control while the baby is coming out of the vagina.
7. When the baby is completely outside, we hold it with both hands so that the head is lower than the body. In this way you can dismiss any liquid through your mouth and nose. We can also introduce a finger in the baby’s mouth, to remove secretions.
8.While the umbilical cord looks thick, bluish and has a pulse, we keep the baby at the same level as the mother. If you do not breathe after a minute, cleanse us and inhale your nose and mouth. If necessary, we apply artificial respiration.
9. We wrap the baby and put it on the breast of the mother.
10. Do not cut the cord while you have a pulse, but when it stops beating, it becomes white and thin. We tie a piece of bandage or cloth around the cord, about 10cm from the navel of the baby, and we make another knot about 3 or 5cem from the previous one. Then we cut the piece of cord that is between the two knots.
11. The placenta is expelled between 5 to 20 minutes after delivery and also produces contractions. If it is delayed we can favor its exit by performing a gentle massage on the uterus and pushing towards the pelvis. Never pull the cord to remove it. It is convenient to keep the placenta for the doctor to observe it.
12. Wash the mother with warm water and give her a hot drink. We shelter her and her baby and let her rest until the doctor arrives.
13. If after delivery the mother has a hemorrhage, we raise her legs, put a compress and give a gentle massage under the navel.

Material needed to attend a delivery.
In the event that the delivery takes place in a house and we have time to prepare, it is advisable that we first procure the elements that we are going to use:
 A clean surface for mom. The most advisable is a bed.
 Have boiled water handy to use when cleaning the baby and the baby.
 Sanitary pads or pieces of soft cloth, previously sterilized.
 Sheets or towels to wrap the baby. Clean towels or pieces of cloth will also be placed under the mother’s buttocks, sticking out so that the newborn comes out on them. It will be necessary to walk them if they get dirty by urine or feces of the mother.
 Scissors sterilized with boiled water or alcohol to cut the umbilical cord.
 A rubber bulb with which the secretions from the nose and mouth of the newborn will be aspirated.
 Two straps to tie the umbilical cord before cutting it.

Although the delivery is unforeseen and we have to assist the mother with

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