24. Pregnancy/Childbirth/Miscarriage - OABCD

Question 1

3rd Trimester

Answer 1

6-9 months
24-40 weeks

Question 2

2nd Trimester

Answer 2

4-5 months
13-23 weeks

Question 3

1st Trimester

Answer 3

0-3 months
0-12 weeks

Question 4

Breech or Cord

Answer 4

Presentation of umbilical cord, hands, feet, or buttocks first from birth canal

Question 5

Imminent Delivery

Answer 5

• 1st full pregnancy and labor pains ≤ 2 mins apart
• 2nd plus full pregnancy and labor pains ≤ 5 mins apart
• Pushing or straining

Question 6

HIGH RISK Complications

Answer 6

Local Medical Control must define and authorize any conditions before determinant can be used:
* Premature birth (24-36 weeks)
* Multiple birth (≥ 24 weeks)
* Bleeding disorder
* Blood thinners
* Cervical cerclage (stitch)
* Placenta abruption
* Placenta previa

Question 7

OMEGA Referral

Answer 7

Local Medical Control must authorize the use of non-mobile referral, if not the locally assigned response will be followed:
* Waters broken (no contractions or presenting parts)

Question 8

SERIOUS Hemorrhage

Answer 8

Uncontrolled bleeding (spurting or pouring) from any area, or anytime a caller reports “serious” bleeding

Question 9

Miscarriage

Answer 9

Post-delivery of a fetus or products of conception
(tissue) prior to 6 months or 24 weeks of gestation

Question 10

Problem Suffix

Answer 10

M: Multiple brith

Question 11

POSTPARTUM Hemorrhage

Answer 11

Vaginal bleeding ≤ 8 weeks after delivery