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Learn how to do routine spontaneous vaginal delivery: http://www.merckmanuals.com/professional/gynecology-and-obstetrics/normal-labor-and-delivery/management-of-normal-delivery

Ensure full cervical dilation before assisting delivery. Feel the fetal suture lines and fontanelles to assess fetal position. Use the dorsal lithotomy position. Feel the uterus or do tocometry if epidural anesthesia is used. Perineal bulging heralds crowning. Control the rate of delivery and help the head clear the pubic symphysis. Avoid episiotomy. Look for nuchal cord. After restitution, grasp the mandible and pull downward. Deliver the shoulders and begin oxytocin infusion. Strip, clamp, and cut the umbilical cord. Bulb suction and nose. If meconium was not passed, stimulate the infant.

About the Merck Manuals:

First published in 1899 as a small reference book for physicians and pharmacists, The Merck Manual grew in size and scope to become one of the world’s most widely used comprehensive medical resources for professionals and consumers. As The Manual evolved, it continually expanded the reach and depth of its offerings to reflect the mission of providing the best medical information to a wide cross-section of users, including medical professionals and students, veterinarians and veterinary students, and consumers.

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Procedure by Will Stone, MD, and Kate Leonard, MD, Walter Reed National Military Medical Center Residency in Obstetrics and Gynecology; and Shad Deering, COL, MD, Chair, Department of Obstetrics and Gynecology, Uniformed Services University. Assisted by Elizabeth N. Weissbrod, MA, CMI, Eric Wilson, 2LT, and Jamie Bradshaw at the Val G. Hemming Simulation Center at the Uniformed Services University.

#birth #delivery #howto #hospital

This content was originally published here.