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Civilian Emergency Platform
DEVELOPMENT FIXTURE — Twin pregnancy with first baby delivered second imminent — higher bleeding risk.
DEVELOPMENT FIXTURE — NOT EXPERT REVIEWED — NOT FOR PUBLIC DISTRIBUTION
DEVELOPMENT FIXTURE — Known twin pregnancy active labour.
DEVELOPMENT FIXTURE — First baby born contractions continue.
Scene hazards: PPH, Second twin distress
DEVELOPMENT FIXTURE — 112 twin A delivered twin B imminent.
DEVELOPMENT FIXTURE — Two towel sets labeled A and B if possible.
DEVELOPMENT FIXTURE — Fundal massage between deliveries if bleeding.
DEVELOPMENT FIXTURE — Second presentation may differ — call out to dispatcher.
DEVELOPMENT FIXTURE — 112 two neonatal kits if possible.
DEVELOPMENT FIXTURE — Report inter-twin delivery interval.
DEVELOPMENT FIXTURE — Ultrasound for second position ideal — field birth high risk.
DEVELOPMENT FIXTURE — Active management third stage each baby documentation.
DEVELOPMENT FIXTURE — Do NOT neglect first twin warming while awaiting second.
DEVELOPMENT FIXTURE — Do NOT give ergot herbs to contract uterus untrained.
MYTH: DEVELOPMENT FIXTURE — Twins always need cesarean
REALITY: DEVELOPMENT FIXTURE — Many twin births vaginal in hospital — field twin birth still needs urgent OB care after.
DANGER: DEVELOPMENT FIXTURE — Underestimating PPH and second twin malpresentation risks at home.
DEVELOPMENT FIXTURE — Second twin often delivers easier after first opens cervix.
DEVELOPMENT FIXTURE — Uterus overdistended — PPH risk high.