OB Emergencies & NRP

GO TO NRP GUIDELINE ALGORITHM

For ALL OB Emergencies:

  • General critical care guidelines
    • Notify supervising MD
    • Initiate ABC’s, oxygen, and place on monitors
    • Obtain IV, rainbow labs, make NPO
  • Contact MIST (205) 934-6478 (934-MIST) for MFM attending and Neonatology
  • For Nursing report call L&D (205) 934-4277
  • For any OB transfer to Women’s Infant Center (WIC)
    • Take employee elevator to 2nd floor
    • Cut through 2nd floor lab to crosswalk and into WIC
    • Proceed up to 3rd floor to Maternal Evaluation Unit (MEU)

Imminent Delivery

To Resuscitation room:

  • Prepare for delivery and transfer
  • Ultrasound machine to bedside
  • Radiant warmer to bedside
  • If delivery occurs in the ED:
    • Clamp and cut the cord
    • Transfer mother to Women’s Infant Center (WIC)
    • DO NOT DELIVER PLACENTA

Pregnancy with SHOCK, shortness of breath, AMS, major trauma

To Resuscitation room:

  • Prepare for delivery and transfer
  • Ultrasound to bedside
  • Position patient on their left side
  • C-spine precautions if indicated

Labor and/or pregnant, bleeding in > 20 weeks, or trauma

To Resuscitation room:

  • Prepare for delivery and transfer
  • Position patient on left side
  • Ultrasound to bedside

2019 NRP Guideline

Pre Eclampsia and Eclampsia Management

Source: AHA Focused Updated on Neonatal Resuscitation: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Disclaimer: These clinical pathways are intended to be a guide specifically for residents, fellows, CRNPs, and physicians (“practitioners”) at Children’s of Alabama (“COA”). These clinical pathways may be adapted for each patient depending on clinical scenarios based on the practitioner’s judgment, consideration of unique circumstances, needs of the patient and their respective family, and availability of resources of where the patient is located. These clinical pathways are not to be construed as medical advice or treatment. COA does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one of more of them apply to a particular patient or medical condition. COA is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.