Date Published

October 13, 2021

Updated For

ALS PCS Version 5.2


From the Emergency Child Birth online module: Steps to deliver when baby’s head is visualizes and birth is progressing: 1. Prepare the patient (see TOTW on Management of Uncomplicated Delivery – Preparation) 2. Guard the perineum with one hand. With the other guide the head out slowly (top left photo) 3. Check for and manage nuchal cord - present in 5% of deliveries (photo on right) 4. Allow for spontaneous restitution/external rotation 5. Apply gentle lateral flexion, followed by gentle upward flexion to deliver the shoulders and body (bottom left photo)


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