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Instructions for helping yourself

Unexpected birth before help arrives

What to do

  1. If the baby is coming now or there is a strong urge to push, call an ambulance now. Use speakerphone.
  2. Use a comfortable, safe position. Lying on your left side is an option. Avoid lying flat on your back.
  3. If alone or bleeding, do not search around the house for supplies. Tell the dispatcher you are alone and follow guidance.
  4. Very heavy bleeding, dizziness or fainting after birth: alert emergency services immediately.
  5. Cord before baby: no touching or pushing back. If able, knees and elbows on floor, lean forward until help. Otherwise lie on your side and tell dispatcher.
  6. Report head, feet or cord emerging. No baby/cord pulling. If born, support close to prevent a fall. Report no breathing. Ask a safe person to help.
  7. Dizziness, faintness, severe pain or heavy bleeding: report now and stay lying. Say if alone. Do not drive or walk carrying baby to find help.

What to avoid

  1. Leave the umbilical cord alone: do not pull, tie or cut it.
  2. Do not shake or hit the baby. Do not suction with your mouth or insert objects.
  3. Do not bathe the newborn while awaiting help. Protect from draughts.
Maternal seizureMother unresponsive, abnormal breathing