usually one at a time. From this point on, it is
essential to remember that the baby is VERY slip-
pery, and great care must be taken so that you
do not drop it. The surface beneath the mother
should extend at least 2 feet out from the buttocks
so that the baby would not be hurt if it did slip
out of your hands. Keep one hand beneath the
babys head, and use the other to support its
Once the baby has been born, suction the nose
and mouth again if breathing has not started.
Wipe the face, nose, and mouth clean with sterile
gauze. Your reward will be the babys hearty
greeting to the world.
Clamp the umbilical cord as the pulsations
cease. Use two clamps from the prepackaged
sterile delivery pack, 2 inches apart, with the first
clamp 6 to 8 inches from the navel. Cut between
the clamps. For safety, use gauze tape to tie the
cord 1 inch from the clamp toward the navel.
Secure the tie with a square knot. Wrap the child
in a warm, sterile blanket and log the time of the
The placenta (afterbirth) will deliver itself in
10 to 20 minutes. This can be aided by massag-
ing the mothers lower abdomen. Do not pull on
the placenta. Log the time of its delivery, and
wrap it up for hospital analysis.
Place a small strip of tape (1/2 inch wide),
folded and inscribed with the date, time of
delivery, and mothers name, around the babys
COMPLICATIONS IN CHILDBIRTH
If the babys legs and buttocks emerge first,
follow the steps for a normal delivery, support-
ing the lower extremities with one hand. If the
head does not emerge within 3 minutes, try to
maintain an airway by gently pushing fingers into
the vagina, pushing the vagina away from the face
and opening the babys mouth with one finger.
Get medical aid immediately.
If the cord precedes the baby, protect it with
moist, sterile wraps. If a physician cannot be
reached soon, place the mother in an extreme
shock position, give her oxygen if available, and
gently move your gloved hand into the vagina to
keep its walls and the baby from compressing the
cord. Get medical aid immediately.
If bleeding is severe, treat the mother for shock
and give her oxygen. Place sanitary napkins over
the vaginal entrance and rush her to a hospital.
If a single limb presents itself first, get the
mother immediately to a hospital.
RESCUE AND TRANSPORTATION
It is a basic principle of first aid that an in-
jured person must be given essential treatment
BEFORE being moved. However, it is impossible
to treat an injured person who is in a position of
immediate danger. If the victim is drowning, or
if his or her life is endangered by fire, steam, elec-
tricity, poisonous or explosive gases, or other
hazards, rescue must take place before first aid
treatment can be given.
The life of an injured person may well depend
upon the manner in which rescue and transporta-
tion to a medical treatment facility are accom-
plished. Rescue operations must be accomplished
quickly, but unnecessary haste is both futile and
dangerous. After rescue and essential first aid
treatment have been given, further transportation
must be accomplished in a manner that will not
aggravate the injuries. As a corpsman it may be
your responsibility to direct, and be the primary
rescuer in, these operations. The life and safety
of the victim and the members of the rescue team
may rest on your decisions.
In this section, we will consider the use of com-
mon types of protective equipment, phases of
rescue operations, ways of effecting rescue from
dangerous situations, emergency methods of mov-
ing injured persons to safety, and procedures for
transporting them after first aid has been given.
The use of appropriate items of protective
equipment will increase your ability to effect
rescue from life-threatening situations. Protective
equipment that is generally available on naval
vessels and some shore activities include the ox-
ygen breathing apparatus (OBA); hose (air line)
masks; protective (gas) masks; asbestos suits;
steel-wire life lines; and devices for detecting