b'ChildbirthChapterThere is a possibility that you may be called on to assist with the birth of a baby. This situation is a most rewarding one for a first aider and there is no need to be nervous or frightened about it. The mother requires support and reassurance more than anything else and if you appear calm and confident this will show her that you are a person she can rely upon.In most situations, childbirth proceeds quite naturally and things very rarely go wrong. Although the labour process can be quite lengthy, there are normally very few complications.Childbirth occurs quite naturally however if it all starts unexpectedly the mother and helpers may become quite anxious. Labour is often quite lengthy but it is usually straightforward and there is ample time to organise assistance and hospital transport. Sometimes however, the baby just wants to arrive and things do not go to plan.First Stage: Onset of LabourThe onset of labour begins with cramp-like pains (contractions) in the lower abdomen often radiating through to the lower back. The pains may occur regularly every 5 to 20 minutes and generally continue for about 30 seconds.In some cases, the mother may have a show of bloodstained mucus. This is usually a sign of imminent birth of the baby. At this point, urgent Ambulance or medical attention should be sought. During this stage there may occur a breaking of the waters followed by a sudden flow of fluid from within the membrane that surrounds the baby.Keep the mother comfortable and provide plenty of rest and reassurance. Every attempt should be made to protect her from embarrassment especially if the delivery occurs in a public place.Preparation should include:Clean sheets.Blankets.Large plastic sheet if available to cover the bed or floor.Sterile pads for the mother.A nappy or warm bunny rug for the baby.Towels, face washers and clean warm water to help clean mother.Thoroughly wash your hands and apply gloves if possible.214 Childbirth'