Delivery assistance in the parturient second stage

18

I can prepare instruments and clean areas by utilizing the sterile technique.

19

I can observe the progress of labor due to pelvic examination and uterus contractions, and diagnose whether there is any abnormality.

20

I can diagnose the need for urinary catheterization and carry it out at the appropriate time and method.

21

I can tell the adaptation of amniotomy and judge and carry it out at an appropriate time.

22

I can do anal protection at the right time and in the right way to avoid anal lacerations.

23

I can adjust and guide the maternal pushing, breathing, and posture according to contractions and labor progress.

24

I can provide manual perineal protection at the right time and in the right way given the progress of labor.

25

I can adjust the delivery rate of the infant’s head with my left hand to pass the 3rd rotation with the minimum circumference.

26

I can keep the infant in flexion until the occipital nodule slides under the pubic arch.

27

I can suppress the maternal pushing and adjust her breathing when the infant’s head is delivered.

28

I can clean the area around the nose of the infant after the maternal delivery of her infant’s head.

29

I can check the nuchal cord and assist when it occurs.

30

I can diagnose and assist the timing of the 4th rotation of the infant.

31

I can assist with delivery of the anterior shoulder and posterior shoulder.

32

I can get rid of perineal protective cotton.

33

I can adequately grasp the infant’s trunk and deliver it along the pelvic lead.

34

I can check the delivery time.

35

I can lay the infant down in a safe place and the right direction.

36

I can clean the infant’s face and help establish the first breath (suction when needed).

Delivery assistance in the parturient third and fourth stages

37

I can observe the whole body (existence of external malformations/delivery injuries, scoring Apgar score) while trying to keep the infant warm.

38

I can perform umbilical cord clamping and omphalotomy appropriately.

39

I can observe and disinfect after omphalotomy.

40

I can carry out a face-to-face meeting with the mother and infant while watching the condition of the mother and infant.

41

I can safely transfer the infant to an infant warmer.

42

I can observe the state of uterine contractions and bleed after delivery of the infant.