7. NORMAL CHILDBIRTH
Positions that a woman may
General methods of adopt during childbirth
supportive care during
labour are most useful in
helping the woman
tolerate labour pains
Once the cervix is fully
dilated and the woman is in
the expulsive phase of the
second stage, encourage the
woman to assume the position
she prefers and encourage her
to push
There must be enough room
in front of mom to care for the infant
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9. PERINEAL CLEANSING
Need 6 swab balls
Clean sequentially as
shown by the numbers
Clean according to the
direction shown by the
Arrows
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10. CREATE A STERILE FIELD
AROUND THE VAGINAL OPENING
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12. EPISIOTOMY
Note: Considered only in:
Not a routine procedure complicated vaginal
delivery
Do not decrease breech
perineal damage shoulder dystocia
future vaginal prolapse forceps
urinary incontinence
vacuum
Associated with scarring from female
an increase of 3rd & 4th
genital mutilation or
degree tears poorly healed third or
fourth degree tears
subsequent anal
sphincter muscle
dysfunction. fetal distress.
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13. ASSISTING WITH DELIVERY
As crowning occurs, place
a hand on the top of the
baby’s head and apply
light pressure
Instruct the mother to
focus on her breathing.
Have her “pant like a
dog” to help her stop
pushing and prevent a
forceful birth.
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14. DELIVERY OF THE HEAD
Ask the woman to pant or give
only small pushes with
contractions as the baby’s
head delivers
To control birth of the head,
place the fingers of one hand
against the baby’s head to
keep it flexed (bent)
Continue to gently support the
perineum as the baby’s head
delivers
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15. DELIVERY OF THE HEAD
2nd stage of labour
Head is borned by extension
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16. SUCTION THE BABY’S MOUTH
AND NOSE
Once the baby’s head
delivers, ask the
woman not to push
Suction the baby’s
mouth and nose
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18. CORD AROUND THE NECK
Feel around the
baby’s neck
for the umbilical cord
If the cord is around the
neck, attempt to slip it
over the baby’s head
If the cord is tight
around the neck, doubly
clamp and cut it before
unwinding it from
around the neck
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19. ASSISTING WITH DELIVERY
As the head emerges, the baby
will turn to one side (for easier
passage of shoulders through
birth canal)
Check to see if the umbilical
cord is looped around the
baby’s neck. If so, gently slip
it over the head
Use a clean towel to catch
the baby
Note the time, if possible
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20. DELIVERY OF FETAL HEAD WITH
ROL POSITION
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21. DELIVERY OF ANTERIOR SHOULDER
Anterior shoulder
wedged
behind the pubic
symphysis
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22. DELIVERY OF ANTERIOR SHOULDER
Direction of traction
- should be in the direction of the axis of the body
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23. COMPLETION OF DELIVERY
Allow the baby’s head to
turn spontaneously.
After the head turns,
place a hand on each side
of the baby’s head. Tell
the woman to push
gently with the next
contraction.
Move the baby’s head
Reduce tears by delivering posteriorly to deliver the
shoulder that is anterior
one shoulder at a time
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24. DELIVERY OF POSTERIOR SHOULDER
Lift the baby’s head
anteriorly to deliver
the shoulder that is
posterior
Support the rest of the
baby’s body with one
hand as it slides out
Place the baby on the
mother’s abdomen
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