------------------------------------------------------------------------ PREPARING FOR THE BIRTH ------------------------------------------------------------------------ The prospective mother is likely to be very nervous and excited. It is most important that she should be reassured of your ability to deal with the situation. This is best done by talking calmly to her and making the whole thing appear as everyday occurrence. All unnecessary people should be made to leave the room, but make sure you are not left alone with the mother. Usually there will be a female relative or a neighbour you can ask to help. Protect the bed, sofa, or floor with any plastic sheeting that may be available but remember that towels or newspapers can be used as a substitute. If the mother is not at home or near a bed, she can lie down on the floor, the seat of a car, or any flat surface. In a public place, if there are people around, ask them to politely stand around the mother with their backs to her, to afford her some privacy. Lay the mother on her back with her knees drawn up and her head and shoulders comfortably supported. Ask her to remove any clothing that might interfere with the delivery. Cover her with blankets for as long as possible and put cotton, lint or any suitable sheeting under her buttocks for warmth, and to absorb any subsequent mess. Fold a blanket in three and wrap it in a sheet to make a pack to cover the top half of her body during the delivery. For The Baby ------------ Make sure that there is some form of heating available. Prepare a cot and have a blanket, shawl or towel ready to wrap up the baby. A cot can be improvised from linen baskets, drawers or boxes. Place it in a corner away from any draughts. For The Delivery ---------------- Fill up some jugs of hot water and find a clean basin, and a plastic or stout paper bag to hold soiled swabs e.t.c. Have scissors and sterile ligatures ready in case you need to cut the umbilical cord. Boil the scissors for ten minutes to sterilise them. If there are no ligatures available, boil three 25cm (9in) peices of string for ten minutes. You will also have to sterilise dressings to dress the cord after cutting. PREVENTING INFECTION -------------------- Lack of scrupulous cleanliness and infection can jeopardise both the mother and the baby. No person who has a cold, sore throat or sceptic hands should help with the delivery. You and your assistant should both wear masks, if none are available, you can improvise by tying clean handkerchiefs around your faces. If possible, scrub your hands, nails and forearms thoroughly under running water for at least four minutes. DO NOT DRY THEM and if they become soiled, wash them again in the same way. ------------------------------------------------------------------------