Verse 1 Dispatch at dawn, I’m rolling steady, lights cut through the rain, She’s high-risk, history ready, I’m gathering the chain. Due date marked, I ask her clear, keep calm, stay close to me, When did contractions start? How often? Tell me frequency. Any rupture of membranes? Was there a sudden release? Time and amount of bleeding—every detail helps me piece. Fetal movement sensation—has the baby been active inside? Gravida, para status—past deliveries, let it guide. Past medical and delivery notes, medications she’s on, Is this pregnancy high-risk? We assess before it’s gone. Chorus Left lateral, keep her safe, tilted slightly right, Inspect the perineum, stay focused in the light. Spasmodic pain is building, pressure turning strong, We document it all as we move along. If it’s time, we’re ready, calm and professional and steady— From first call to newborn, we keep everything ready. Verse 2 Signs and symptoms rising—bleeding, discharge seen, Crowning at the perineum, or urge to push between. Meconium in fluid, green tint in the flow, Priority symptoms flashing—this is where we go. Less than thirty-six weeks, abnormal presentation, Buttock, foot, or hand—requires rapid intervention. Prolapsed cord or placenta previa in sight, Abruptions causing pressure shifts, hypertension’s fight. Abnormal bleeding, hypotension on the rise, OB-GYN emergency protocol in our eyes. IV or IO access, prepare and communicate, Notify the receiving facility—don’t hesitate. Pre-Chorus Encourage her to refrain from pushing if we’re not there yet, Transport unless delivery’s imminent—stay set. Support the presenting parts, never pull or tug, Keep dignity intact, stay calm and snug. Chorus Left lateral, hips aligned, knees gently bent, If delivery’s not immediate, that’s the intent. Elevate the buttocks slightly, towels placed with care, Monitor and reassess—be present, be aware. Bridge Crowning and >36 weeks? We prepare to stay, Childbirth procedure ready, we don’t delay. Field delivery flow into newborn protocol, APGAR at one and five—but resuscitate before we call. First minute, fifth minute, score it as we go, But never let documentation slow the show. If resuscitation’s needed, move with speed and grace, Newly born protocol—quickly take that space. After placenta’s delivered, uterus massage tight, Lower abdomen gently—help it contract right. Postpartum hemorrhage, watch the bleeding flow, Pitocin IM—ten units to help it close. TXA if shock signs show in sight, But not if birth was hours before our arrival light. Clamps at ten and five centimeters from the cord, Cut with sterile care, teamwork is our word. Verse 3 Twins are rare but possible, about one in ninety, Share the same approach—remain calm and plenty. Lower birth weight risk, hypothermia’s concern, Notify the facility—let the message turn. If crowning’s not present, we monitor and wait, Reassess contractions, document their rate. Frequency and duration—every time we track, Information builds the story we bring back. Maternal exam complete—mind, heart, lungs, abdomen, neuro check, Stay ahead of changes, keep the full respect. Breakdown Hips elevated if cord is pressed, Knees to chest—relieve the stress. Insert fingers gently, lift that cord, Saline dressing moist—protect the ward. Shoulder dystocia, breech in view, Support, don’t pull—that’s what we do. Notify destination, call medical control, Communication steady—that’s the goal. Final Chorus From history taken to placenta’s end, From first contraction we document and trend. Whether transport or delivery on scene, We stay composed, precise, and clean. Priority signs guide every move we make— Crowning, bleeding, abnormal shape. Through every protocol step we see, It’s about safety, mother, and baby. Outro When the tones go quiet and the room is still, We’ve followed the plan with skill and will. From left lateral position to newborn’s cry, We serve in the moment, under the sky. Paramedic heart, steady hands in the fight— Bringing life forward in the dark of night.
