Normal Delivery Checklist 2020

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NORMAL VAGINAL DELIVERY CHECKLIST

---------Prepares the necessary equipments ( 2 clamps, metz, cord clamp, drapes)


---------Wash hands with soap and water.
-------- Do double gloving.
--------- Let patient empty her bladder or do straight catheterization prior to pushing .
---------Encourage the mother to push when contractions begin until crowning is noted.
---------After episiotomy was done, let the mother push during a contraction until the head
distends the vulva and the perineum. A gloved hand with towel or os is placed over the
perineum for support.
--------Moderate upward pressure is applied to the chin of the infant through the perineum as
the occiput emerges beyond the symphysis. The other hand of the operator presses superiorly
against the occiput and held it against symphysis until fetal head is delivered.
--------After delivery of the fetal head, a finger is passed across the fetal neck to check for cord
coils. If the cord is loose enough, it should be slipped easily over the head or if very tight, apply
two clamps & cut cord in between clamps.
------Following delivery of the fetal head, the occiput promptly turns toward one of the
maternal thighs and assumes a transverse position.
------- The sides of the head are grasped with both hands and gentle downward traction is
applied until the anterior shoulder appears under the pubic arch. Then give upward lift of head
to allow delivery of posterior shoulder.
-------Shift hold from head to the body and deliver trunk & legs.
--------Thoroughly dry the baby and wrap with a dry towel. Avoid any manipulation like
suctioning.
-------Place the newborn prone on the mother’s abdomen or chest for skin-to-skin contact.
-------Remove the first set of gloves.
------- Clamp and cut the cord after cord pulsations have stopped ( typically at 1 to 3 mins.).
Place 1 clamp in the cord 2 cm and another clamp 5 cm from the newborn’s abdomen. Cut the
cord between the clamps.
-------Leave the newborn on the mother’s chest for skin-to-skin contact for 90 minutes.
------ Place the fingers of one hand at the level of the lower uterine segment, the uterus is
massaged and pushed upwards towards the head of the patient at same time maintaining
steady traction of the cord.
------Observe for the signs of placental separation. Continue gentle traction of the cord until the
base of the placenta will be visible at the vagina. Assist the delivery of the placenta . Once
delivered, check it for completeness.
-----Check also for any retained cotyledons and/ secundines in the uterus and extension of
lacerations in the cervix and vagina. Check also that the uterus is contracted.

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