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Delivery, Uncomplicated, Emergency Medicine

Jonathan B. Walker and James S. Walker Reviewed 06/2017
 


Basics

Etiology

  • Delivery in ED is rare:

    • Incidence of ED deliveries in US is not known.

    • Health care systems in which patients have little prenatal care tend to have greater incidence of ED deliveries.

  • ED d...

Diagnosis

Signs and Symptoms

  • True labor presents as uterine contractions occurring at least every 5 min and lasting 30–60 sec.

  • Significant vaginal bleeding with labor demands immediate assessment for pl...

Treatment

Pre-Hospital

  • Place patients in left lateral recumbent position

  • Emergency medical services (EMS) personnel should be adequately trained and have proper equipment available for delivery

  • EMS trans...

Follow-Up

Disposition

Admission Criteria

  • All women with uncomplicated deliveries and no significant postpartum bleeding should be admitted to labor and delivery or postpartum unit for care and monitorin...

Pearls and Pitfalls

  • Be ready for complications such as cord prolapse, shoulder dystocia, breech delivery

  • Be prepared to treat 2 patients after delivery—mother and infant

Additional Reading

  • Enright  K, Kidd  A, Macleod  A. Postpartum emergencies. Emerg Med J.  2009;26:310.

  • Marx  JA, Hockberger  RS, Walls  RM, et al. Rosen's Emergency Medicine: Concepts and Practice...

Codes

ICD9

  • 650 Normal delivery

  • 661.30 Precipitate labor, unspecified as to episode of care or not applicable

  • V23.7 Supervision of high-risk pregnancy with insufficient prenatal care

ICD10

  • O09.30 Suprvsn of...

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