How to Perform the Heimlich Maneuver on a Pregnant Women

By eHow Health Editor

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While you can perform the Heimlich Maneuver on a pregnant woman, you must use a modified version to avoid harming the woman or the fetus. You can also perform this modified Heimlich Maneuver on a very obese person if you find you can't wrap your arms around his torso.

Instructions

Difficulty: Moderately Easy

Things You’ll Need:

  • Phone to call 911
  • Blanket, jacket or towel to cover victim

How to Perform a Modified Heimlich Maneuver on Pregnant Women

Step1
Ask, "Are you choking?" Stay calm, and try to keep the victim calm as well.
Step2
Point to a specific person and tell him to call 911. Instruct the person to tell the operator that someone is choking. Don't just call out for anyone to call 911, as bystanders may freeze or panic in emergency situations.
Step3
Ask the victim whether she is pregnant, unless it is obvious. Using the standard Heimlich Maneuver can harm a fetus even in early stages of pregnancy, when the woman doesn't appear to be pregnant.
Step4
Position yourself behind the choking woman.
Step5
Lean the victim forward slightly and tilt her head downward, allowing gravity to help you dislodge the stuck food.
Step6
Wrap your arms around the victim with your arms under her armpits.
Step7
Make a fist with one hand.
Step8
Place your fist with the thumb against the center of the victim's breastbone.
Step9
Cover your fist with your other hand.
Step10
Apply chest thrusts against the center of the woman's breastbone. Chest thrusts should be firm and move inward and downwards.
Step11
Continue giving chest thrusts until the victim can breathe, medical help arrives or the woman loses consciousness.
Step12
Cover the victim to keep her warm once the object is expelled, and stay with her until medical help arrives.

Tips & Warnings

  • In general, women are more likely than men to try to hide choking or coughing in a public setting. However, if you suspect someone might be choking, follow her and be ready to give assistance.
  • If the woman can cough or talk, wait with her and encourage her to cough.
  • Performing chest thrusts incorrectly can damage the victim's ribs or lungs.
  • Do not perform the Heimlich Maneuver until you are certain that the choking person cannot expel the stuck object on her own.
  • Do not give any sort of liquid to a choking victim.
  • Do not hit a choking victim on the back, as you can force objects further down the victim's throat.

Comments

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on 6/4/2008 When performing chest thrusts (as described here for a pregnant or obese person) the thrusts should be aimed downwards. This is because a chest thrust causes the diaphragm to move downward and you want to encourage that movement. See http://www.enotes.com/nursing-encyclopedia/heimlich-maneuver.

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on 12/27/2007 I'm a bit confused about step 10. Shouldn't the thrusts be upwards instead of downwards?

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eHow Article: How to Perform the Heimlich Maneuver on a Pregnant Women

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Category: Health

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