Assisting a spontaneous vaginal delivery. Educational overview — always under supervision.
Indications
- • Term, cephalic presentation, established labour
Contraindications
- ⚠ Malpresentation without training
- ⚠ Fetal distress
Equipment
- • Delivery pack
- • Neonatal resuscitation trolley
- • Suction
- • Sterile drapes
- • Cord clamps × 2
- • Scissors
- • Oxytocin 10 IU
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/10)
Tap to complete
Regular contractions, cervical change, station.
Immediate complications
- ⚠ Perineal tear
- ⚠ PPH
- ⚠ Shoulder dystocia
- ⚠ Cord prolapse
Delayed complications
- • Retained products
- • Infection
- • Fistula
Recognition
- • Bleeding > 500 mL
- • Retained placenta
- • Failure of head to deliver shoulders
Initial management
- • Massage uterus + oxytocin for PPH; McRoberts + suprapubic pressure for shoulder dystocia
Prevention
- • Continuous monitoring
- • Active 3rd stage
Post-procedure observation
- • Vitals + PV bleed q15min × 2h
Monitoring
- • Fundal height
- • Lochia
Documentation
- • Time of delivery
- • APGAR
- • Blood loss
- • Repairs
Patient instructions
- • Perineal care
- • Breastfeeding support
Drugs used in this procedure
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
