If your baby is struggling to breathe, or has stopped breathing you need to act quickly to dislodge the object which is obstructing his airway. The first technique to use is back blows. Turn the baby face down on your lap for the back blows. Hold the baby in this secure face-down position and be sure to support the baby's head. The front of the baby is supposed to be firmly leaning against your arm, and you can use your thigh for support.  Ensure that you are not covering the baby's mouth or twisting his neck. The baby's head should be slightly lower than her chest. Once you have positioned the baby you need to administer five firm but gentle back blows. Slap the baby's back, between her shoulder blades, with the heel of your hand five times. After five slaps, stop and check the baby's mouth to see if the blockage has become dislodged. If there is an obvious blockage which you can see and reach, carefully take it out. Do not do this if you risk pushing it further in. If, after administering five back blows, the baby's airway has not been cleared, you will need to perform five chest thrusts. If your baby is coughing and crying, then it's a good sign, because this means some air is coming through. If the baby is not crying after the previous step and the object has not been visibly coughed up, then the back blows were unsuccessful. In this case, it's time to perform chest thrusts. Place the baby facing upwards across your lap, with the head lower than the body. Use your thigh or lap for support and be sure to support the head. Once the baby is positioned and supported on your lap you need to perform five chest thrusts. Place two fingers on the centre of his breastbone, just below the nipples, or about one finger's breadth below the nipples. Then give five quick thrusts down. The force you exert should compress the chest between a third and a half of its depth.  Check if the blockage has been dislodged and if it is easy for you to take it out do so, but again, do not risk pushing it in further. Continue to perform back blows and chest thrusts in this cycle until the blockage has been removed or until help arrives.  If the object has not been dislodged after three cycles of back blows and chest thrusts be sure to call emergency services immediately, if you haven't already. Even after the object has been dislodged you should pay close attention to your baby. It is possible that some of the substance which caused the blockage may remain and cause problems in the near future. If she has any trouble swallowing, or has a persistent cough, you should seek medical help immediately. Take your child to see your doctor or to your local Hospital, or Emergency Room.
استعدي لصفع الطفل على ظهره. قومي بصفع الطفل على ظهره بثبات. استعدّي للقيام بدفع الصدر. قومي بأداء خمسة دفعات للصدر. راقبي الطفل بعد انفتاح مجرى التنفس.