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    Normal Delivery Checklist 2020

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    Ever Seneca EscaLera
    The document provides a checklist for the steps involved in a normal vaginal delivery: 1) Prepare necessary equipment and wash hands. Encourage the mother to push during contractions until crowning is noted. 2) After delivery of the head, check the neck for cord coils and deliver the shoulders and body. 3) Thoroughly dry the baby, place skin-to-skin, and wait 1-3 minutes before clamping the cord. Observe for placental separation and assist delivery. Check the placenta is complete and uterus is contracted.

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    Normal Delivery Checklist 2020

    Uploaded by

    Ever Seneca EscaLera
    53 views4 pages
    The document provides a checklist for the steps involved in a normal vaginal delivery: 1) Prepare necessary equipment and wash hands. Encourage the mother to push during contractions until crowning is noted. 2) After delivery of the head, check the neck for cord coils and deliver the shoulders and body. 3) Thoroughly dry the baby, place skin-to-skin, and wait 1-3 minutes before clamping the cord. Observe for placental separation and assist delivery. Check the placenta is complete and uterus is contracted.

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    NORMAL DELIVERY CHECKLIST 2020.docx

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    The document provides a checklist for the steps involved in a normal vaginal delivery: 1) Prepare necessary equipment and wash hands. Encourage the mother to push during contractions until crowning is noted. 2) After delivery of the head, check the neck for cord coils and deliver the shoulders and body. 3) Thoroughly dry the baby, place skin-to-skin, and wait 1-3 minutes before clamping the cord. Observe for placental separation and assist delivery. Check the placenta is complete and uterus is contracted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    53 views4 pages

    Normal Delivery Checklist 2020

    Uploaded by

    Ever Seneca EscaLera
    The document provides a checklist for the steps involved in a normal vaginal delivery: 1) Prepare necessary equipment and wash hands. Encourage the mother to push during contractions until crowning is noted. 2) After delivery of the head, check the neck for cord coils and deliver the shoulders and body. 3) Thoroughly dry the baby, place skin-to-skin, and wait 1-3 minutes before clamping the cord. Observe for placental separation and assist delivery. Check the placenta is complete and uterus is contracted.

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    © All Rights Reserved
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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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