Maternal-Newborn & Paediatric Nursing · Chapter 6

The First Move: Intrapartum Emergencies as They Unfold

In every intrapartum emergency the correct first action relieves the mechanical or perfusion problem — lift the presenting part, flex the hips, empty the uterus — and the intuitive action of touching the thing that looks wrong is usually the one that causes harm. Findings arrive one at a time. Act as early as you dare, put HELPERR into order, then name the act that must never happen.

Something has just changed

Case

You do not have to wait for every finding. Acting on fewer findings is the point — but acting wrongly is worse than acting late.

First moves correct0 / 0

Something has just changedRead what you have, then act

Waiting

Choose a mode on the left.