Operational Obstetrics & Gynecology

Labor and Delivery

Labor	Contractions	Electronic Fetal Monitors
Latent Phase Labor	Fetal Heart Rate	Pain Relief
Active Phase Labor	Urine	Second Stage Labor
Progress of Labor	Estimated Fetal Weight	Preparing for Delivery
Delivery of the Baby	Dilatation and Effacement	Managing the Delivery
Delivery of the Placenta	Fetal Orientation	Episiotomy
Managing Labor and Delivery	Leopold's Maneuvers	Anesthesia
Initial Evaluation	Fetal Membranes	Clamp the Cord
History	Blood Count	The Placenta
Risk Factors	Early Labor	Uterine Massage
Vital Signs	Monitor the Fetal Heart	Post Partum Care

Preparing for the Delivery

Ideally, you will have a sterile field (sterile towels, drapes, and equipment), but a clean field is nearly as good. Preparation of the vulva with antiseptic solution, shaving of pubic hairs and evacuating the bowels with an enema is not generally necessary, but might be a good idea in selected operational settings where contamination may be significant. For an uncomplicated delivery, you will need:

Latex gloves
Two baby blankets (one to initially receive and dry the baby and the other for after the baby is dried).
Something to clamp the umbilical cord (2 hemostats, 2 shoestrings, 2 ligatures, 2 parachute cords, etc.).
Something to cut the umbilical cord (scissors, scalpel, K-Bar, pocket knife, etc.)
Something to suction the baby's nose and mouth (bulb syringe, suction tubing, DeLee Trap, etc.)
Something in which to place the placenta (basin, bowel, mess kit, etc.)
Something to wipe up and absorb blood from the field (4x4 gauze sponges, sanitary pads, towels, small or medium battle dressings, etc.)
Injectable Lidocaine (for the delivery or repair of lacerations)
Suture (2-0 or 3-0 chromic, plain, or synthetic absorbable) for repair of any lacerations

Home · Introduction · Medical Support of Women in Field Environments · The Prisoner of War Experience · Routine Care · Pap Smears · Human Papilloma Virus · Contraception · Birth Control Pills · Vulvar Disease · Vaginal Discharge · Abnormal Bleeding · Menstrual Problems · Abdominal Pain · Urination Problems · Menopause · Breast Problems · Sexual Assault · Normal Pregnancy · Abnormal Pregnancy · Normal Labor and Delivery · Problems During Labor and Delivery · Care of the Newborn

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300

Operational Obstetrics & Gynecology - 2nd Edition
The Health Care of Women in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMEDPUB 6300-2C
January 1, 2000

This web version of Operational Obstetrics & Gynecology is provided by The Brookside Associates Medical Education Division. It contains original contents from the official US Navy NAVMEDPUB 6300-2C, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. All material in this version is unclassified.

Advertise on this Site