Clean the woman’s perineum with a cloth or compress, wet with antiseptic or soap and water, wiping from front to back.
Ask the woman to pant or give only small pushes with contractions as the baby’s head is born.
As the pressure of the head thins out the perineum, one way to control the birth of the head is with the fingers of one hand applying a firm, gentle downward (but not restrictive) pressure to maintain flexion, allow natural stretching of perineal tissue, and prevent tears.
Use the other hand to support the perineum using a compress or cloth, and allow the head to crown slowly and be born spontaneously. Do not manipulate the labia or perineum over the baby’s head because this increases the risk of tears.
Wipe the mucus (and membranes, if needed) from the baby’s mouth and nose with a clean cloth. Feel around the baby’s neck to ensure that the umbilical cord is not around it:
If the cord is around the neck but is loose, slip it over the baby’s head.
If the cord is loose but cannot reach over the head, slip it backwards over the shoulders.
If the cord is tight around the neck:
Tie or clamp the cord in two places 2 cm apart.
Cut the cord between the ties/clamps.
Unwind the cord from around the baby’s neck and proceed.
Ask the woman to pant or give only small pushes with contractions as the baby’s head is born.
As the pressure of the head thins out the perineum, one way to control the birth of the head is with the fingers of one hand applying a firm, gentle downward (but not restrictive) pressure to maintain flexion, allow natural stretching of perineal tissue, and prevent tears.
Use the other hand to support the perineum using a compress or cloth, and allow the head to crown slowly and be born spontaneously. Do not manipulate the labia or perineum over the baby’s head because this increases the risk of tears.
Wipe the mucus (and membranes, if needed) from the baby’s mouth and nose with a clean cloth. Feel around the baby’s neck to ensure that the umbilical cord is not around it:
If the cord is around the neck but is loose, slip it over the baby’s head.
If the cord is loose but cannot reach over the head, slip it backwards over the shoulders.
If the cord is tight around the neck:
Tie or clamp the cord in two places 2 cm apart.
Cut the cord between the ties/clamps.
Unwind the cord from around the baby’s neck and proceed.
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