Local protocol may not allow this action.
d. DO NOT attempt to push the cord pack or put pressure on the cord.
e. Transport the mother to the hospital immediately while you maintain pressure
on the baby's head.
2-19. LIMB PRESENTATION
Transport the mother to the hospital immediately if an arm or leg is presented
first. Keep the mother in the delivery position (follow local guidelines). DO NOT attempt
to deliver the baby.
DO NOT try to pull on the presenting limb.
DO NOT try to replace the limb into the vagina.
DO NOT place your hand into the vagina unless there is a prolapsed
2-20. MULTIPLE BIRTHS
Multiple births generally present no unique delivery problems.
a. When the first baby is born, tie off the cord to prevent hemorrhage.
b. If the second baby is not delivered within 10 minutes of the first baby,
transport the mother and first baby to the hospital for delivery.
Babies born in multiple births tend to be small. Like premature infants, babies
in multiple births need to be especially protected against a fall in temperature.
Keep babies in multiple births warm.
2-21. PREMATURE BIRTHS
A newborn is considered premature if it weighs less than 5.5 pounds (2.3
kilograms) or if the child is born before the completion of seven months of pregnancy.
Characteristically, this child is smaller, thinner, and redder than a full-term baby. His
head will be relatively larger than that of a full-term baby. Keep the following in mind
when you are assisting in a premature delivery.
a. Keep the newborn warm. Maintaining his body temperature is very important.
Wrap the baby in a warm blanket or a makeshift incubator. A makeshift incubator could
be aluminum foil wrapped around the baby, leaving the face uncovered.
b. Use a bulb syringe to keep the baby's nose and mouth clear of fluids and