DiscoverProcedure Ready: Ob/GynBefore Your First: Vaginal Delivery
Before Your First: Vaginal Delivery

Before Your First: Vaginal Delivery

Update: 2017-10-29
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Description


  • Cardinal movements of labor: engagement, descent, flexion, internal rotation, extension, external rotation and expulsion

  • Complete dilation, now station: Labor down vs push

  • 2nd Stage of labor: Pushing

  • Offer to help with maternal positioning—holding ankle/leg

  • Delivery—downward traction on head, thumbs to nose, anterior shoulder, posterior shoulder, body. Skin to skin. Delayed cord clamping.

  • 3rd stage placenta: Active management, Pitocin, gentle cord traction. 3 signs of placental detachment

  • Bleeding: Atony, meds

  • Lacerations: degree, repair

  • Postpartum: Fundal tenderness, lochia, voiding, BMC.


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Before Your First: Vaginal Delivery

Before Your First: Vaginal Delivery

Jennifer Doorey, MD, MS