Protocol 2-242 - Childbirth / Labor

Polk, Hickory, Cedar, & St Clair EMS Protocols

In general, this protocol's scope covers management of delivering a baby up to the point of cutting the umbilical cord. After cutting the cord:







NEMSIS Protocol: 9914155 - OB/GYN-Childbirth/Labor/Delivery


Change Log:

DateLink to
Description of change
10/04/13pdfAdded consider to orthostatic.
10/04/13pdfAdded consider to orthostatic.
12/12/14pdfAdded detailed delivery instructions for normal, breech, and prolapsed cord. Added comments to only Suction if infant is in distress.
04/14/15Added comment to only clamp the cord if full-term delivery.
11/17/15pdfAdded comment that patient should be transported to a hospital with an OB department.
02/03/16pdfAdded EMD section for MPDS medical direction.
07/22/16pdfMoved NS fluid bolus to AEMT section.
09/22/17pdfAdded comment to avoid routine suctioning. Added comment to check and fix cord around neck. Added comment for posterior and anterior pressure to deliver shoulders. Added comment to clamp and cut cord after 1-3 minutes if no distress and immediately if resuscitation and referenced NRP protocol.
11/11/17pdfAdded unknown or ignored pregnancy to the list of high-risk pregnancy conditions.
12/21/17pdfAdded comment to consider limb leads.
08/24/18pdfChanged fluid from NS to LR.
04/16/20pdfAdded content (without substantive modification) from old Protocol 4-160 - Pre-Term Labor.
04/16/20pdfAdded content (without substantive modification) from old Protocol 4-090 - Childbirth.
06/06/21pdfMoved to

Return to Protocols Table of Contents.

Search protocols:

CMH PHS Mission: "Provide safe, exceptional, and compassionate care to our communities with an emphasis on highly trained and empowered staff."
Creative Commons License Polk, Hickory, Cedar, & St Clair County EMS Protocols by Theron Becker is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.