What maneuvers are used in the delivery of a fetus?

Updated: Jan 24, 2019
  • Author: Sarah Hagood Milton, MD; Chief Editor: Christine Isaacs, MD  more...
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Delivery maneuvers are as follows:

  • The head is held in mid position until it is delivered, followed by suctioning of the oropharynx and nares

  • Check the fetus's neck for a wrapped umbilical cord, and promptly reduce it if possible

  • If the cord is wrapped too tightly to be removed, the cord can be double clamped and cut

  • The fetus's anterior shoulder is delivered with gentle downward traction on its head and chin

  • Subsequent upward pressure in the opposite direction facilitates delivery of the posterior shoulder

  • The rest of the fetus should now be easily delivered with gentle traction away from the mother

  • If not done previously, the cord is clamped and cut

  • The baby is vigorously stimulated and dried and then transferred to the care of the waiting attendants or placed on the mother's abdomen

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