Precipitous Delivery

First, take a deep breath and remember that 90% of babies require no assistance at birth and transition to the extrauterine environment appropriately all on their own - Arika G. Gupta MD

Precipitous Delivery

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Clamp the Cord: Emergency Department Deliveries – Part 1

Apply gentle pressure with a sterile towel using your dominant hand to support the perineum, easing the pressure of head descent to prevent vaginal tears. Apply gentle pressure with your non-dominant hand to the head with slight flexion to the infant’s neck as the mother gives small pushes.

The infant will restitute and rotate to face the maternal thigh after the head is delivered. Now is the time to check for a nuchal cord by running your finger around the neck.

To deliver the anterior shoulder, place your palms on the infant’s cheeks and apply gentle downward traction. Oxytocin 10 units IM should be administered after delivery of the anterior shoulder. Use gentle upward…

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Last Updated : Tuesday, July 5, 2022