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In this chapter you will learn about the following: Describe the basic structure of the legal system in the United States, relate how laws affect the paramedic’s practice, list situations that a paramedic is legally required to report in most states, describe the four elements involved in a claim of negligence, describe measures paramedics may take to protect themselves from claims of negligence. | 9/11/2012 1 Chapter 46 Obstetrics 2 Learning Objectives • Describe the basic anatomy and physiology of the female reproductive system. • Outline fetal development from ovulation through birth. • Explain normal maternal physiological changes that occur during pregnancy and how they influence prehospital patient care and transportation. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Describe appropriate information to be elicited during the obstetrical patient’s history. • Describe specific techniques for assessment of the pregnant patient. • Describe the general prehospital care of the pregnant patient. • Discuss the special implications of trauma in pregnancy. 4 Learning Objectives • Outline principles of care for a pregnant patient in cardiac arrest or peri‐arrest. • Recognize and begin treatment for complications of pregnancy such as hyperemesis gravidarum, Rh sensitization, diabetes mellitus, and infection. • Describe the assessment and management of patients with preeclampsia and eclampsia. 5 Learning Objectives • Explain the pathophysiology, signs and symptoms, and management of vaginal bleeding in pregnancy. • Outline the physiological changes that occur during the stages of labor. • Describe the role of the paramedic during normal labor and delivery. 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 Learning Objectives • Compute an Apgar score. • Describe assessment and management of postpartum hemorrhage. • Discuss the identification, implications, and prehospital management of complicated deliveries. 7 Female Reproductive Anatomy • Comprised of external and internal anatomic structures – Allow for pregnancy • External genitalia – Labium minora – Labium majora – Vagina – Clitoris 8 Female Reproductive Anatomy • Internal organs; lie within pelvis – Uterus – Ovaries – Uterine (or fallopian) tubes – .
