How do you perform CPR on pregnant woman- 3 trimester?
Performing Cardiopulmonary Resuscitation (CPR) on a pregnant woman during the third trimester requires special considerations due to anatomical changes and the presence of the fetus. Here are the steps for performing CPR on a pregnant woman in the third trimester:
1. Check Responsiveness:
- Tap the woman's shoulder and shout, "Are you okay?"
- If she does not respond or is unresponsive, call for help and dial emergency services.
2. Position the Woman:
- Gently place the woman on her back on a firm, flat surface.
3. Open the Airway:
- Lift the woman's chin and gently tilt her head back to open her airway.
4. Check for Breathing:
- Look, listen, and feel for normal breathing for no more than 10 seconds.
- If she is not breathing or her breathing is abnormal, begin CPR.
5. Start Chest Compressions:
- Place the heel of one hand on the center of her chest, just below the breastbone.
- Position your other hand on top of the first hand and interlock your fingers.
- Keep your shoulders directly over your hands and lock your elbows.
- Perform chest compressions at a rate of 100 to 120 compressions per minute.
- Push down approximately 3.8 to 5 cm (1.5 to 2 inches) on the chest and allow it to recoil after each compression.
- After every 30 compressions, give two rescue breaths.
6. Rescue Breaths:
- Pinch the woman's nose shut and seal her mouth with your mouth.
- Give two rescue breaths, each lasting about one second, making sure her chest rises.
7. Continue CPR:
- Repeat the cycles of 30 compressions and two breaths until:
- The woman starts breathing,
- Help arrives,
- You are too exhausted to continue,
- An automated external defibrillator (AED) is available and ready to use.
8. AED Use (if available):
- If an AED is present, turn it on and follow the voice prompts.
- Attach the AED pads according to the manufacturer's instructions.
- The AED will analyze the heart rhythm and advise if a shock is necessary.
- If a shock is advised, ensure that no one is touching the woman before delivering the shock.
Remember that performing CPR on a pregnant woman requires modifications due to the enlarged uterus and changes in abdominal anatomy. It is recommended that you receive proper training and stay updated on the latest guidelines for performing CPR on pregnant women.