GynaePulse
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Spontaneous vaginal birth

Normal birth of the head, shoulders and body.

Source: NICE NG235

Steps

  1. Support her chosen position; encourage pushing with contractions.
  2. At crowning, breathe the head out slowly; hands-on perineal protection.
  3. Mediolateral episiotomy (60°) only if needed.
  4. Check for nuchal cord.
  5. Wait for restitution; deliver anterior then posterior shoulder.
  6. Baby onto mother’s chest; dry and keep warm.
  7. Delay cord clamping ≥1 min; active third stage.
  8. Examine perineum including rectal exam.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.