262 MANAG EMENT PROTOCOL FOR HOME DELIVERY (Flowchart No. 30) PLAN A: l. O Do the following during the first stage of labor (from onset of true labor pain. until the cervix is ful Jy open): s J. J. Advise Lhe pat. il:!1ll not to bear down during this stage. 1. 2. Do not give the patient a heavy mea J. 1. 2. 1. If possible, do not give the patient anyt)1ing by mouth until after the delivery. 1. 2. 2. If she is hungry, a glass of milk and/or some cookies could be given. 1. 3. Keep the patient calm. 1-4. Prepare the work are:1. 1. 4. 1. Choose an area in the home which would provide enough privacy und comfort for hoth the patient and health personne l. a. If a room is not available, an area can be sealed off by draping a dean bed sheet or blanket over a chair thus tlie blanket acts as a curtain. J. 4. 2. Wash yom: hands with soap and water and dry them using the clean hand towel in the delivery kit. 1. 43. Place the following things for the baby in one part of the working area: a. clean clr Hh to dry the baby b. baby's bhmket and bonnet c. pack of cotton bulls d. 70% alcohol e. bowl of warm watc,· f. one cord dressing pack g. abdomin al binders h. diaper i. large safety pins j. sando or camisa Place the following things for the mother: 1-4. 4. a. Put at the bead part of the patient a change of clothing Oike a housccfress). b. Place the following at U1e foot of the patient (if plastic lining is available, spread it out and place these things on it): a pair of sharp scissors or blade soaked in 70% alcohol. O bowl with warm previously boiled water bowl for the placenta ("inunan") D one pack of umbilical ties O one pack of cotton balls O paper waste basket 0 diaper c. Improvise a pad: wrap any of the fol]owing in a clean cloth: old newspapers, clean rags and/or old clothes. d. If another plastic linfog is available, place the improvised pad on top of it. e. Place the pad (with or without the plastic lining) under the patient's buttocks. With a brosh, scrub your bands with soap and rinse with warm previously boiled water using the pouring method (that is, ask someone to pour wate~ 