Former Emirates flight attendant Marika Mikusova has unveiled the intricate protocols and training that cabin crews undergo to manage one of aviation's rarest emergencies: delivering a baby at 35,000 feet. With fewer than 100 recorded births on commercial aircraft, this event remains an extraordinary occurrence, yet flight attendants are rigorously prepared for such scenarios.
Initial Steps and Medical Assistance
Mikusova, author of Diary of a Flight Attendant, explained that while cabin crew receive training for in-flight childbirth, it is not part of annual testing. The immediate response involves asking if a doctor is on board and contacting ground medical support for guidance. This ensures that every possible measure is taken to safeguard the mother and newborn, even though crews are not medical professionals.
Optimal Location for Delivery
If circumstances permit, the delivery should ideally occur near bulkhead seats, where there is slightly more space. According to manuals, the passenger would be positioned upright with knees parted against the partition wall. However, Mikusova noted that in reality, the galley often becomes the preferred site, especially on larger aircraft like the Boeing 777 and Airbus A380, due to its superior room and accessibility.
Hygiene and Preparation Protocols
Although cleaning floors and surfaces is not explicitly outlined in manuals, it is considered a logical step. Mikusova emphasized that time constraints often make thorough disinfection impractical during the event. Instead, crews place the laboring passenger on a clean blanket, previously unwrapped from plastic, and use rubber gloves with disinfectant readily available to maintain hygiene standards.
Onboard Delivery Kit and Equipment
Cabin crews have access to a specialized delivery kit containing essential items such as a mucous extractor, scissors, cord clamps, and absorbent pads. Ground medical support guides the crew through the use of these tools, ensuring they adhere strictly to trained procedures without overstepping their roles. For instance, if the mother can clean herself before delivery, she is encouraged to do so, with wet towels or baby wipes provided if available.
Pilot Decisions and Diversion Protocols
Whether a plane diverts to land immediately depends on cockpit decisions. Mikusova stated that pilots' manuals may not specify protocols for in-flight births, but based on her experience, if a doctor is assisting and the situation is under control with no complications, the flight might continue to its original destination. This highlights the collaborative effort between cabin crew, medical professionals, and pilots in managing such emergencies.
Airline Policies for Pregnant Passengers
While flying during pregnancy is generally safe, most airlines require a "fit to fly" letter after 28 weeks, confirming the due date and absence of complications. This precautionary measure helps mitigate risks and ensures that both passengers and crew are prepared for any eventualities during the journey.
