Ensure complete cervical dilation before assisting delivery, feel fetal suture lines and fontanelles to assess fetal position, use dorsal lithotomy position . It’s still:

These are some of the steps to correctly perform spontaneous vaginal birth assisted by health professionals, described by a manual available online and illustrated in a video published on the web. The steps described in the movie are as follows:

– Ensure complete cervical dilation before assisting delivery, feel fetal suture lines and fontanelles to assess fetal position , use dorsal lithotomy position . Analyze the uterus or perform tocometry if epidural anesthesia is used. The protruding perineal announces the coronation. Control the speed of delivery and help the head to clear the pubic symphysis. Avoid episiotomy. Look for the nuchal cord. After returning, grasp the jaw and pull down. Turn your shoulders over and start the oxytocin infusion. Strip, pinch and cut the umbilical cord. Bulb and nose aspiration. If the meconium has not been exceeded, stimulate the baby. About Merck Manuals :

First published in 1899 as a small reference book for physicians and pharmacists, the Merck manual has grown in size and scope to become one of the most widely used comprehensive medical resource manuals for professionals and consumers. As the Handbook has evolved, it has continuously expanded the scope and depth of its offerings to reflect its mission to provide the best medical information to a broad cross-section of users, including medical professionals and students, veterinarians and veterinary students and consumers. . Link to the movie:

How to Perform Spontaneous Vaginal Delivery | Merck manual professional version – video link:

Merck Manual Professional Version: http://www.MerckManuals.com/Professional .